Individual
LYDIA LIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229-4428
(210) 731-9570
Mailing address
8317 MORNING GRV, CONVERSE, TX 78109-3437
(210) 833-4891
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212364
TX
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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