YORDANIS RAFAEL FONSECA VEGA

SAN ANTONIO, TX
NPI1801494554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1016853)
Enumeration Date2020-10-14
Last Update Date2024-08-28
Business Address
YORDANIS RAFAEL FONSECA VEGA
12521 NACOGDOCHES RD STE 101
SAN ANTONIO, TX 78217-2117
Phone number: 210-634-7814
Mailing Address
YORDANIS RAFAEL FONSECA VEGA
12521 NACOGDOCHES RD STE 101
SAN ANTONIO, TX 78217-2117
Phone number: 210-634-7814
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