Individual
MRS. LETICIA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 JEFFERSON ST, KERRVILLE, TX 78028-4706
(830) 370-0776
Mailing address
1508 JEFFERSON ST, KERRVILLE, TX 78028-4706
(830) 370-0776
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
TX 80302
TX
Other
Enumeration date
08/18/2008
Last updated
03/12/2010
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