Individual
LESA J MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
117 SOUTHBRIDGE ST, SAN ANTONIO, TX 78216-6229
(210) 480-6269
Mailing address
PO BOX 702056, SAN ANTONIO, TX 78270-2056
(210) 480-6269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
680862
TX
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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