EDWARD GRAY VILLANUEVA

SAN ANTONIO, TX
NPI1558919373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  225709)
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
EDWARD GRAY VILLANUEVA
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
Mailing Address
EDWARD GRAY VILLANUEVA
3419 DUNLAP FLDS
CONVERSE, TX 78109-3637
Phone number: 210-425-3097
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