Individual
MRS. KIMBERLY DAWN CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AESTHETICIAN
Contact information
Practice address
14855 BLANCO RD, SAN ANTONIO, TX 78216-7732
(210) 461-0477
Mailing address
5738 TIMBERHURST, SAN ANTONIO, TX 78250-4177
(210) 461-0477
(210) 680-9440
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
001188028
TX
Other
Enumeration date
02/15/2009
Last updated
04/16/2021
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