Individual
AMELIA MATHERLY CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4383 MEDICAL DR STE 2051, SAN ANTONIO, TX 78229-3307
(210) 593-5741
Mailing address
1122 RICE RD, SAN ANTONIO, TX 78220-3519
(502) 649-0435
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
50810
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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