Individual
MS. MARIE CELESTE LOERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., R.N., F.N.P.
Contact information
Practice address
2414 BABCOCK RD STE 109, SAN ANTONIO, TX 78229-4870
(210) 616-0889
Mailing address
2414 BABCOCK RD STE 109, SAN ANTONIO, TX 78229-4870
(210) 616-0889
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
711500
TX
363LF0000X
Family Nurse Practitioner
711500
TX
Other
Enumeration date
05/19/2011
Last updated
11/15/2013
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