Individual
MRS. BENITA MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1803 S ZARZAMORA ST, SAN ANTONIO, TX 78207-7449
(210) 792-6048
Mailing address
1803 S ZARZAMORA ST, SAN ANTONIO, TX 78207-7449
(210) 792-6048
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
021101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021101
—
TX
Enumeration date
02/17/2022
Last updated
02/17/2022
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