Individual
CHARLES WANGECI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7330 SAN PEDRO AVE, SAN ANTONIO, TX 78216-6235
(210) 737-8090
Mailing address
25 BADGERS HLS, SAN ANTONIO, TX 78238-1374
(832) 406-5105
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
927085
TX
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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