Individual
KIMBERLY LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
335 WHISTLING DUCK, SAN ANTONIO, TX 78253-6136
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
882607
TX
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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