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Individual

DR. ALELI CASINO MASAJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2148 JACKSON KELLER RD, SAN ANTONIO, TX 78213-2722
(210) 501-0703
(210) 526-0334
Mailing address
2148 JACKSON KELLER RD, SAN ANTONIO, TX 78213-2722
(210) 501-0703
(210) 526-0334

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P3769
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
314373702
TX
Enumeration date
05/14/2008
Last updated
12/10/2014
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