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Organization
DILLON'S TLC
Active
Organization
DILLON'S TLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE PONCE VALADEZ PH.D. (OWNER/PRESIDENT)
(210) 685-8898
Entity
Organization
Contact information
Practice address
711 N MAIN ST, SUITE A, BOERNE, TX 78006-1623
(210) 685-8898
(830) 537-3535
Mailing address
711 N MAIN ST, SUITE A, BOERNE, TX 78006-1623
(210) 685-8898
(830) 537-3535
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
NULL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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