Individual
AUDREY MARIE VERACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12470 STARCREST DR APT 103, SAN ANTONIO, TX 78216-2978
(210) 636-9850
Mailing address
12470 STARCREST DR APT 103, SAN ANTONIO, TX 78216-2978
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
325901
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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