Individual
JESUS ALBERTO MANCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7411 HORSE TAIL DR, SAN ANTONIO, TX 78240-3240
(210) 254-0174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
983742
TX
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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