Individual
MARLA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7727 SHINING GLOW, SAN ANTONIO, TX 78244-3524
(808) 635-6506
Mailing address
7727 SHINING GLOW, SAN ANTONIO, TX 78244-3524
(808) 635-6506
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1921102
TX
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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