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Individual

KANDISE HEEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8600 WURZBACH RD STE 700, SAN ANTONIO, TX 78240-4332
(210) 733-0524
Mailing address
6115 RIDGE OAK, SAN ANTONIO, TX 78250-4046
(210) 514-8257

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
193463
TX

Other

Enumeration date
06/17/2019
Last updated
06/17/2019
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