Individual
SUSIE MARTINEZ GOLDHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(602) 796-3708
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(602) 796-3708
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
932450
TX
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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