Individual
GEORGIA SNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 CORIANDER BND, SAN ANTONIO, TX 78253-5299
(210) 544-2668
Mailing address
115 CORIANDER BND, SAN ANTONIO, TX 78253-5299
(210) 544-2668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
220922
TX
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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