Individual
LESLIE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
388 MOOSEHEAD RD, SPRING BRANCH, TX 78070-4015
(210) 284-4048
Mailing address
388 MOOSEHEAD RD, SPRING BRANCH, TX 78070-4015
(210) 284-4048
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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