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Individual

LAURA K TAMAYO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3201 CHERRY RIDGE ST STE D400, SAN ANTONIO, TX 78230-4820
(210) 692-0222
Mailing address
12415 VALLE DE ZAVAL, SAN ANTONIO, TX 78249
(210) 309-5047

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
303107
TX

Other

Enumeration date
03/06/2018
Last updated
03/06/2018
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