Individual
MRS. AMY LEE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
18140 SAN PEDRO AVE, SAN ANTONIO, TX 78232-1421
(210) 490-5593
Mailing address
18140 SAN PEDRO AVE, SAN ANTONIO, TX 78232-1421
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100330
TX
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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