Individual
MRS. LAURA SOLEDAD KHOSRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
(210) 824-5323
Mailing address
306 REDBUD TRCE, SAN ANTONIO, TX 78245-2988
(210) 620-8086
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
309821
TX
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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