Individual
MARYANNE MENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6359 WHITBY RD, SAN ANTONIO, TX 78240-2129
(612) 438-5945
Mailing address
6359 WHITBY RD, SAN ANTONIO, TX 78240-2129
(612) 438-5945
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
183500000X
Pharmacist
24705
IA
Other
Enumeration date
06/22/2022
Last updated
10/04/2024
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