VEDWATTIE D KOOMA

SAN ANTONIO, TX
NPI1265620736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TX  163458)
Enumeration Date2007-10-10
Last Update Date2007-10-10
Business Address
-- VEDWATTIE D KOOMA
3130 BIRKHEAD DR
SAN ANTONIO, TX 78234-2565
Phone number: 210-824-1268
Mailing Address
-- VEDWATTIE D KOOMA
3130 BIRKHEAD DR
SAN ANTONIO, TX 78234-2565
Phone number: 210-824-1268