Individual
BOZENA PANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207574
TX
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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