SHASTA THEODORE

SAN ANTONIO, TX
NPI1275154882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-05
Last Update Date2020-05-05
Business Address
SHASTA THEODORE MD
7703 FLOYD CURL DR # MC7750
SAN ANTONIO, TX 78229-3901
Phone number: 936-446-0466
Mailing Address
SHASTA THEODORE MD
7703 FLOYD CURL DR # MC7750
SAN ANTONIO, TX 78229-3901
Phone number: 936-446-0466
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