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Individual

THERESA PADINJAREKUTTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9939 TEXAS 151 ACCESS RD, SAN ANTONIO, TX 78251
(804) 503-1953
Mailing address
9142 YEARLING ST, SAN ANTONIO, TX 78254-2249
(804) 503-1953

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001200477
VA

Other

Enumeration date
09/16/2024
Last updated
09/16/2024
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