Individual
CRYSTAL MARISSA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335688
TX
364SH0200X
Home Health Clinical Nurse Specialist
335688
TX
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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