DIVINA G BUCCELLATO

SAN ANTONIO, TX
NPI1427619675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  141736)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: TX  141736)
Enumeration Date2019-06-27
Last Update Date2023-12-19
Business Address
DIVINA G BUCCELLATO NP
3070 COLORADO CV
SAN ANTONIO, TX 78253-6294
Phone number: 203-228-8485
Mailing Address
DIVINA G BUCCELLATO NP
3040 COLORADO COVE
SAN ANTONIO, TX 78253
Phone number: 203-228-8485