Individual
GRACEANN WALL GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
9255 GRISSOM RD, SAN ANTONIO, TX 78251-2805
(210) 680-2958
Mailing address
331 NECHES BR, SAN ANTONIO, TX 78258-4329
(214) 538-8192
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
302843
TX
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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