Individual
LUANA V WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12310 COAL MINE RISE, SAN ANTONIO, TX 78245-3495
(253) 353-4215
Mailing address
12310 COAL MINE RISE, SAN ANTONIO, TX 78245-3495
(253) 353-4215
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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