Individual
LEAH ELAINE KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6700 I-10, SAN ANTONIO, TX 78201
(210) 736-6700
Mailing address
13832 S ALEXIS CIR, HERRIMAN, UT 84096-3939
(385) 225-1475
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12386020-3101
UT
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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