Individual
MYRA AIME PERALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS SLP-ASSISTANT
Contact information
Practice address
3201 CHERRY RIDGE ST STE D400, SAN ANTONIO, TX 78230-4820
(210) 692-0222
Mailing address
12330 VANCE JACKSON RD APT 9108, SAN ANTONIO, TX 78230-6022
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35185
TX
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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