Individual
KARI KAY LIVANEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4222 KNOLLBLUFF, SAN ANTONIO, TX 78247-2110
(210) 781-2080
Mailing address
4222 KNOLLBLUFF, SAN ANTONIO, TX 78247-2110
(210) 781-2080
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
214352
TX
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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