Individual
NICOLE DE LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-8529
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-7500
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1114266
TX
Other
Enumeration date
07/10/2023
Last updated
08/25/2023
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