Individual
DANA MISAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12601 TECH RIDGE BLVD, AUSTIN, TX 78753-3451
(512) 491-6051
Mailing address
17304 LATHROP AVE, PFLUGERVILLE, TX 78660-4873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62961
TX
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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