Individual
ALYSSA CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHC
Contact information
Practice address
6322 SOVEREIGN ST STE 240, SAN ANTONIO, TX 78229-5134
(832) 385-6614
Mailing address
4518 CLEAR SPRING DR, SAN ANTONIO, TX 78217-3628
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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