COLLINS KIPRUTO IZIMBA

SAN ANTONIO, TX
NPI1750145355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1036153)
Enumeration Date2024-02-13
Last Update Date2024-02-13
Business Address
COLLINS KIPRUTO IZIMBA
4242 WOODCOCK DR
SAN ANTONIO, TX 78228-1325
Phone number: 210-940-2764
Mailing Address
COLLINS KIPRUTO IZIMBA
4242 WOODCOCK DR
SAN ANTONIO, TX 78228-1325
Phone number: 210-940-2764