Individual
HEATHER MARIE NDIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3201 CHERRY RIDGE ST, SAN ANTONIO, TX 78230-4823
(210) 692-0222
Mailing address
6526 CANDLECANE CIR, SAN ANTONIO, TX 78244-1914
(210) 760-8846
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
322304
TX
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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