FERMIN ELIZALDE DOMINGUEZ

SAN ANTONIO, TX
NPI1548770977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: TX  753893)
Enumeration Date2017-10-12
Last Update Date2017-10-12
Business Address
FERMIN ELIZALDE DOMINGUEZ
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229-3621
Phone number: 210-614-8101
Mailing Address
FERMIN ELIZALDE DOMINGUEZ
9219 CENTRO GRANDE
SAN ANTONIO, TX 78245-1291
Phone number: