LISA MICHELLE LEATHAM

FORT SAM HOUSTON, TX
NPI1083627475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  dt06822)
Enumeration Date2006-08-15
Last Update Date2023-08-03
Business Address
LISA MICHELLE LEATHAM rd
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8782
Mailing Address
LISA MICHELLE LEATHAM rd
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8782
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