Individual
MRS. DIANE WALLING DOERSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7400 MERTON MINTER BLVD, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 949-3595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24140
TX
Other
Enumeration date
09/28/2006
Last updated
10/19/2007
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