Individual
MRS. DIANA LAURA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R,PH
Contact information
Practice address
11551 WEST AVE, SAN ANTONIO, TX 78213-1343
(210) 340-7786
(210) 308-0138
Mailing address
11551 WEST AVE, SAN ANTONIO, TX 78213-1343
(210) 340-7786
(210) 308-0138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28846
TX
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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