Individual
MRS. CRISELDA CAVAZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
85 NE LOOP 410 STE 500, SAN ANTONIO, TX 78216-5866
(210) 822-0475
(210) 822-0485
Mailing address
1129 W SAGE RD, KINGSVILLE, TX 78363-2790
(361) 228-8600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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