TRACIE DIANE LEVERIDGE

SAN ANTONIO, TX
NPI1053980565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: TX  1030791)
Enumeration Date2021-06-19
Last Update Date2021-06-19
Business Address
TRACIE DIANE LEVERIDGE
5616 LONE STAR PKWY
SAN ANTONIO, TX 78253-2200
Phone number: 210-281-5066
Mailing Address
TRACIE DIANE LEVERIDGE
1 SAINT ROBBY CT
MANSFIELD, TX 76063-7637
Phone number: 817-269-8289
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