Individual
DANYA YRAIS REVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
11914 DRAGON LN, SAN ANTONIO, TX 78252-2612
(210) 622-4301
Mailing address
2854 TORTUGA VERDE, SAN ANTONIO, TX 78245-3705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
123541
TX
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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