NATHAN SIMON MELLENBRUCH

SAN ANTONIO, TX
NPI1679121172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
NATHAN SIMON MELLENBRUCH
7311 MYNA BIRD
SAN ANTONIO, TX 78223-6052
Phone number: 210-241-9137
Mailing Address
NATHAN SIMON MELLENBRUCH
7311 MYNA BIRD
SAN ANTONIO, TX 78223-6052
Phone number: 210-241-9137