Individual
LARISSA LEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8207 JOE DIMAGGIO ST, SAN ANTONIO, TX 78240-2923
(210) 387-9549
Mailing address
8207 JOE DIMAGGIO ST, SAN ANTONIO, TX 78240-2923
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
76030
TX
Other
Enumeration date
01/17/2015
Last updated
01/17/2015
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