| NPI | 1326775701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE VACIANNA Family Nurse Practitioner Owner 210-264-7418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |