Individual
MIMI WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9939 HIGHWAY 151, SAN ANTONIO, TX 78251-1900
(210) 706-8039
Mailing address
15430 GALLANT BLOOM, SAN ANTONIO, TX 78245-3186
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
73325
TX
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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