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Taralyn Muddiman

Registered Nurse in San Antonio, TX. Individual provider (NPI-1).

NPI number1982176715
StatusActive
Last updated in NPPESDec 18, 2018

Details

NPI
1982176715
Entity type
Individual (NPI-1)
Name
Mrs. Taralyn Muddiman
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 18, 2018
Last updated
Dec 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN9379547FLYes
163W00000X Registered Nurse108733CT
163W00000X Registered NurseRN153085LA

Practice location

8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358

Phone 210-804-0193

Mailing address

8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358

Phone 210-804-0193

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