Individual
MRS. NICOLE MALIA ROSALINE WAINWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
1103 SUNDANCE HUNT, SAN ANTONIO, TX 78245-3428
(808) 286-9713
Mailing address
1103 SUNDANCE HUNT, SAN ANTONIO, TX 78245-3428
(808) 286-9713
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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