Individual
MR. CLARENCE MAURICE REDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21750 HARDY OAK BLVD, SAN ANTONIO, TX 78258-4925
(210) 823-9392
(210) 783-9156
Mailing address
9102 ADDISON RDG, SAN ANTONIO, TX 78254-4480
(210) 823-9392
(210) 783-9156
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
E0030CC835FBCFF1
TX
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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