DARREN POIDEVIN

SAN ANTONIO, TX
NPI1215160817
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  142)
Additional Taxonomies222Z00000X 
(Licence: TX  142)
Enumeration Date2009-08-29
Last Update Date2016-09-13
Business Address
-- DARREN POIDEVIN CPO
4204 GARDENDALE ST STE 124
SAN ANTONIO, TX 78229-3139
Phone number: 210-615-7827
Mailing Address
-- DARREN POIDEVIN CPO
4204 GARDENDALE ST STE 124
SAN ANTONIO, TX 78229-3139
Phone number: 210-615-7827
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