Vicky Myriane Mano
Nurse Practitioner, Family in San Antonio, TX. Individual provider (NPI-1).
NPI number1760052468
StatusActive
Last updated in NPPESJun 26, 2021
Details
- NPI
- 1760052468
- Entity type
- Individual (NPI-1)
- Name
- Vicky Myriane Mano
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2021
- Certification date
- Jun 26, 2021
- Last updated
- Jun 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1044878 | TX | Yes |
Practice location
2833 Babcock Rd Ste 302iSan Antonio, TX 78229-4896
Phone 210-450-9890 · Fax 210-450-4985
Mailing address
6160 Eckhert Rd Apt 701San Antonio, TX 78240-2759
Phone 210-367-5009
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