Individual
EDILMA YOSMARA MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 GOFORTH DRIVE, SAN ANTONIO, TX 78233
(210) 421-8980
Mailing address
209 GOFORTH DRIVE, SAN ANTONIO, TX 78233
(210) 421-8980
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000000000
NO INSURANCE
TX
Enumeration date
02/07/2020
Last updated
02/07/2020
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