MYRANDA BROADWATER

SAN ANTONIO, TX
NPI1235698192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2019-03-19
Last Update Date2019-03-19
Business Address
MYRANDA BROADWATER
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
Mailing Address
MYRANDA BROADWATER
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355