Individual
MRS. CORETTA MARTINE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN, SRN
Contact information
Practice address
4947 EVERS RD, SAN ANTONIO, TX 78228-2148
(210) 254-2240
Mailing address
4947 EVERS RD, SAN ANTONIO, TX 78228-2148
(210) 254-2240
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
302010
TX
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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