Individual
ASHTON DESSERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 455459, SAN ANTONIO, TX 78236-5638
(210) 292-5188
Mailing address
1100 WILFORD HALL LOOP BLDG 455459, SAN ANTONIO, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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