SANDRA LYNNE MALLISHAM

SAN ANTONIO, TX
NPI1053683102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  700915)
Enumeration Date2012-02-06
Last Update Date2012-02-06
Business Address
-- SANDRA LYNNE MALLISHAM FPMHNP-BC
2040 BABCOCK RD SUITE 403
SAN ANTONIO, TX 78229-4425
Phone number: 210-858-9980
Mailing Address
-- SANDRA LYNNE MALLISHAM FPMHNP-BC
2040 BABCOCK RD SUITE 403
SAN ANTONIO, TX 78229-4425
Phone number: 210-858-9980
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