Jerry Puente Gonzales LTC RET, RN, MS

NPI 1023321890 - Registered Nurse - 163WC1600X

NPI Details
NPI 1023321890
Gender Male
Enumeration Date 07/21/2010
Last Updated 07/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
14747 OAK BRIAR
SAN ANTONIO TX, 78232-4679, US
Phone (210) 490-3048
Fax
Business Location
14747 OAK BRIAR
SAN ANTONIO TX, 78232-4679, US
Phone (210) 490-3048
Fax
Toxanomy
Taxonomy Code 163WC1600X
License State Texas
License Number 230082
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According to our database, Mr. Jerry Puente Gonzales LTC RET, RN, MS NPI is 1023321890, taxonomy code is 163WC1600X and license number is 230082, license state is located at Texas. Jerry Puente Gonzales LTC RET, RN, MS physically located at 14747 Oak Briar, San Antonio TX, 78232-4679. NPI Number Jerry Puente Gonzales LTC RET, RN, MS has the Individual type.

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1023321890 NPI number is provided on an as is basis without warranty of any kind. 1023321890 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Puente Gonzales LTC RET, RN, MS are for informational purposes only.