Organization
CHARMING ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE ANNA-LISA MIXON (MANAGER)
(210) 724-5568
Entity
Organization
Contact information
Practice address
21703 PROSPECT HL, SAN ANTONIO, TX 78258-2508
(210) 724-5568
Mailing address
21703 PROSPECT HL, SAN ANTONIO, TX 78258-2508
(210) 724-5568
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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