Individual
JOAN R LAMAYO-BUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1853 YOUNT CIR, SAN ANTONIO, TX 78236-1007
(210) 710-6743
Mailing address
1853 YOUNT CIR, SAN ANTONIO, TX 78236-1007
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
28181
NV
225800000X
Recreation Therapist
Primary
82897
DC
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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