Individual
ALYSHA D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229-4428
(240) 476-2831
Mailing address
7319 N LOOP 1604 E APT 923, LIVE OAK, TX 78233-5672
(240) 476-2831
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335335
TX
Other
Enumeration date
03/18/2018
Last updated
03/18/2018
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