Individual
ALEXANDRA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2904
Mailing address
20614 STONE OAK PKWY APT 1113, SAN ANTONIO, TX 78258-7384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70189
TX
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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