Individual
MRS. GLADYS M KOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 MONTICELLO CT, SAN ANTONIO, TX 78223-2232
(210) 534-9451
Mailing address
804 MONTICELLO CT, SAN ANTONIO, TX 78223-2232
(210) 534-9451
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
118485
TX
311ZA0620X
Adult Care Home Facility
Primary
146005
TX
Other
Enumeration date
01/24/2007
Last updated
04/26/2019
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