Individual
ELIZABETH GRACE REITEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(561) 602-7986
Mailing address
1800 BROADWAY ST APT 1411, SAN ANTONIO, TX 78215-1342
(561) 602-7986
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
848932-01
NY
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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