Individual
LETICIA SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11510 HIGH MDWS, SAN ANTONIO, TX 78253-6114
(210) 204-5298
Mailing address
11510 HIGH MDWS, SAN ANTONIO, TX 78253-6114
(210) 204-5298
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353625
TX
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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