Individual
KWASIADA DORRIELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3239 W WOODLAWN AVE, SAN ANTONIO, TX 78228-4922
(862) 331-9500
Mailing address
3239 W WOODLAWN AVE, SAN ANTONIO, TX 78228-4922
(862) 331-9500
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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