Individual
MS. MARY LOUISE DUCHARME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5441 BABCOCK RD, STE. 200, SAN ANTONIO, TX 78240-3993
(210) 615-1117
(210) 253-3830
Mailing address
383 PALM AVE, APT #N, IMPERIAL BEACH, CA 91932-1136
(517) 230-4475
(619) 934-1886
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
11244
CA
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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