Individual
MARY LOU CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 E VILLARET, SAN ANTONIO, TX 78221-4144
(210) 924-0609
Mailing address
403 E VILLARET, SAN ANTONIO, TX 78221-4144
(210) 924-0609
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
114980
TX
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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