Individual
ANDREA KASSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
502 MADISON OAK DR STE 450, SAN ANTONIO, TX 78258-4806
(210) 730-9610
(210) 730-9693
Mailing address
302 LEGEND BREEZE, SAN ANTONIO, TX 78260-4317
(210) 867-3265
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
TX
163WX0200X
Oncology Registered Nurse
613927
TX
171400000X
Health & Wellness Coach
Primary
484728478
TX
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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