Individual
MELINDA ANNETTE PERALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 PARADISE RD LOT 47, SAN ANTONIO, TX 78244-2255
(254) 630-5410
Mailing address
7500 PARADISE RD LOT 47, SAN ANTONIO, TX 78244-2255
(254) 630-5410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319578
TX
164X00000X
Licensed Vocational Nurse
319578
TX
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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