Individual
MARITZA SEGOVIA DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8610 N NEW BRAUNFELS AVE STE 406, SAN ANTONIO, TX 78217-6358
(210) 804-0193
Mailing address
5631 SPRING WATCH, SAN ANTONIO, TX 78247-1957
(323) 203-8202
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332213
TX
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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