Individual
KELYN C DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 BERGQUIST DR, SAN ANTONIO, TX 78236-9907
(210) 292-7331
Mailing address
2200 BERQUIST DR, APO, AA 78236
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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