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Individual

KRISTIN N GROOMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
519 E QUINCY ST, SAN ANTONIO, TX 78215-1605
(210) 299-1614
(210) 299-4595
Mailing address
519 E QUINCY ST, SAN ANTONIO, TX 78215-1605
(210) 299-1614
(210) 299-4595

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233613
TX

Other

Enumeration date
09/13/2013
Last updated
09/13/2013
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