Individual
MS. DESIREE HANSEN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2518 SUNVIEW LK, SAN ANTONIO, TX 78245-3803
(210) 987-7294
Mailing address
2518 SUNVIEW LK, SAN ANTONIO, TX 78245-3803
(210) 987-7294
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211567
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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