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1669076204
TIA D WAIKEM
SAN ANTONIO, TX
NPI
1669076204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1020334)
Enumeration Date
2020-11-24
Last Update Date
2022-06-02
Business Address
TIA D WAIKEM NP
9153 HUEBNER ROAD
SAN ANTONIO, TX 78240-1502
Phone number: 210-614-7414
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Mailing Address
TIA D WAIKEM NP
5047 SHERRI ANN RD.
SAN ANTONIO, TX 78233
Phone number: 210-828-2503
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