Individual
LESLIE DE CARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229-4428
(210) 731-9570
Mailing address
7616 UPPER SEGUIN RD TRLR 234, CONVERSE, TX 78109-9773
(210) 995-5460
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
160672
TX
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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