Individual
MARY ADELLE B BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 THORMAN PL, SAN ANTONIO, TX 78209-6340
(210) 872-0751
Mailing address
339 THORMAN PL, SAN ANTONIO, TX 78209-6340
(210) 872-0751
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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