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Individual

NATHAN SIMON MELLENBRUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7311 MYNA BIRD, SAN ANTONIO, TX 78223-6052
(210) 241-9137
Mailing address
7311 MYNA BIRD, SAN ANTONIO, TX 78223-6052
(210) 241-9137

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
08/28/2019
Last updated
08/28/2019
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