Individual
KENNETH CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7112 ED BLUESTEIN BLVD STE 125, AUSTIN, TX 78723-2924
(512) 926-0586
Mailing address
7112 ED BLUESTEIN BLVD STE 125, AUSTIN, TX 78723-2924
(512) 926-0586
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
113834
TX
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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