Individual
JUAN MANUEL SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19337 MCDONALD ST, LYTLE, TX 78052-3622
(830) 772-5021
Mailing address
19337 MCDONALD ST, LYTLE, TX 78052-3622
(830) 772-5021
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
264409
TX
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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