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Larissa Leath
NPI 1992194674 · on the registry since 2015
Practice
- Address
- 8207 Joe Dimaggio St
San Antonio, TX 78240 - Phone
- (210) 387-9549
Registry record
- Primary taxonomy
- 2279G1100X
2279G1100X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas