Individual
LISA MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 CHERRY RIDGE ST STE D400, SAN ANTONIO, TX 78230-4820
(210) 622-0222
Mailing address
7803 S NEW BRAUNFELS APT 1102, SAN ANTONIO, TX 78235-1026
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41044
TX
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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