Individual provider · NPI-1
Diane W. Alford, LMT
Contractor · San Antonio, TX
NPI number1548706294
StatusActive
Last updated in NPPESJan 18, 2017
Details
- NPI
- 1548706294
- Entity type
- Individual (NPI-1)
- Name
- Diane W. Alford
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2017
- Last updated
- Jan 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 6170 | TX | Yes |
Practice location
225 E Sonterra BlvdSte 113
San Antonio, TX 78258-3992
Phone 210-601-2845
Mailing address
4039 Regal RoseSan Antonio, TX 78259-2358
Phone 210-601-2845
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