Individual
JEANETTE D. CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP ASSISTANT
Contact information
Practice address
9514 CONSOLE DR STE 102, SAN ANTONIO, TX 78229-2042
(210) 448-9111
Mailing address
9514 CONSOLE DR STE 102, SAN ANTONIO, TX 78229-2042
(210) 448-9111
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
05/29/2018
Last updated
05/29/2018
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