Individual
EDEN BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 N SUNSET STRIP ST, KENEDY, TX 78119-2208
(830) 583-9155
Mailing address
107 N SUNSET STRIP ST, KENEDY, TX 78119-2208
(830) 583-9155
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
173354
TX
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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