Individual
DORA ELIA PUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 WURZBACH RD STE 700, SAN ANTONIO, TX 78240-4332
(210) 733-0524
Mailing address
131 CLEARVIEW DR, SAN ANTONIO, TX 78228-1938
(210) 429-1268
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150984
TX
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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