Individual
LAKESHIA DYANNE HARDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 CRESTWAY DR, SUITE 200 B, SAN ANTONIO, TX 78219
(210) 310-3864
Mailing address
4414 STRADFORD PL, SAN ANTONIO, TX 78217-1368
(210) 994-4551
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
346215
TX
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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