Individual
MRS. CHERYL ANN DEFONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1314 E SONTERRA BLVD STE 5102, SAN ANTONIO, TX 78258-4289
(210) 490-8888
(210) 496-6865
Mailing address
2338 WINDMILL WAY, SAN ANTONIO, TX 78232-4047
(210) 315-3565
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
675682
TX
Other
Enumeration date
03/15/2006
Last updated
04/21/2014
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