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Individual

MRS. MISTY AQUILAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDMS, BS, M.ED.

Contact information

Practice address
339. W. WATER STREET, SUITE 5, KERRYVILLE, TX 78028
(830) 777-7002
Mailing address
747 SAN JUAN S., KERRYVILLE, TX 78028
(830) 777-7002

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
ARDMS100368
TX
2471S1302X
Sonography Radiologic Technologist
ARRT353741
TX

Other

Enumeration date
02/01/2023
Last updated
02/01/2023
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