Individual
LUCHIA TSEHAYE BERHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25207 FOUR IRON CT, SAN ANTONIO, TX 78260-2634
(210) 552-9772
Mailing address
25207 FOUR IRON CT, SAN ANTONIO, TX 78260-2634
(210) 552-9772
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
TX
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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