JACK DANIELS, LVN
Licensed Vocational Nurse
Active
Individual
NPI: 1821787755
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | Yes | 129387 (TX) |
| Clinic/Center - Rehabilitation, Substance Use Disorder | 261QR0405X | No | 129387 (TX) |
Frequently Asked Questions
NPI 1821787755 is the National Provider Identifier for JACK DANIELS, LVN, a Licensed Vocational Nurse provider located in San Antonio, TX. This NPI was enumerated on May 5, 2023.
JACK DANIELS, LVN practices at 241 SEFORD DR, San Antonio, TX 78209.
Quick Facts
- NPI
- 1821787755
- Type
- Individual
- Enumerated
- May 5, 2023
- Last Updated
- May 5, 2023
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