JERRIE DENISE SAN LUIS

AUSTIN, TX
NPI1013667708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: TX  652119)
Enumeration Date2022-03-25
Last Update Date2022-03-25
Business Address
JERRIE DENISE SAN LUIS RN
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745-3188
Phone number: 512-899-2100
Mailing Address
JERRIE DENISE SAN LUIS RN
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745-3188
Phone number: 512-899-2100