Individual
JACQUELINE LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16350 BLANCO RD, SUITE 110B, SAN ANTONIO, TX 78232-3339
(210) 764-2121
(210) 579-6932
Mailing address
7323 WASHITA WAY, SAN ANTONIO, TX 78256
(210) 410-0325
(210) 579-6932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT117769
TX
Other
Enumeration date
07/15/2016
Last updated
10/21/2016
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