Individual
DANITA JOY BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 CORMORANT, SAN ANTONIO, TX 78245-1329
(210) 675-0480
(210) 675-0480
Mailing address
719 CORMORANT, SAN ANTONIO, TX 78245-1329
(210) 675-0480
(210) 675-0480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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