Individual
TOMOKO IIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 NORTHWEST LOOP 410 SUITE 700, SAN ANTONIO, TX 78213
(805) 697-4661
Mailing address
PO BOX 90632, SAN ANTONIO, TX 78209-9088
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204700
TX
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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