Individual
LEAH RENEE MARVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N LOOP 1604 E STE 350, SAN ANTONIO, TX 78232-1289
(210) 255-1466
Mailing address
6674 PRUE RD APT 2305, SAN ANTONIO, TX 78240-2781
(210) 213-4426
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
925196
TX
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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