MARY JANE LACEDA AVILA

SAN ANTONIO, TX
NPI1396564209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1176807)
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
MARY JANE LACEDA AVILA FNP-C
622 ISOM RD STE 101
SAN ANTONIO, TX 78216-4457
Phone number: 210-622-8000
Mailing Address
MARY JANE LACEDA AVILA FNP-C
9554 WITTEN DR
SAN ANTONIO, TX 78254-2179
Phone number: 210-232-3794