Individual
DONNA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 SW 36TH ST, SAN ANTONIO, TX 78237-3360
(210) 358-5742
(210) 358-5238
Mailing address
2121 SW 36TH ST, SAN ANTONIO, TX 78237-3360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
526239
TX
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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