Individual
BRETA ANN LIEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
PO BOX 2267, BOERNE, TX 78006-3603
(210) 243-8801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131952
TX
Other
Enumeration date
09/16/2016
Last updated
09/23/2020
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