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Individual

DIANE HUMERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
610 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78214-2046
(210) 617-5300
(210) 443-0289
Mailing address
1921 WALTER RALEIGH, WINDCREST, TX 78239-1858
(210) 488-5579
(210) 443-0289

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
735144
TX

Other

Enumeration date
09/25/2024
Last updated
09/25/2024
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