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Individual

THERESA ANN CANTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
1812 CENTRE CREEK DR STE 115, AUSTIN, TX 78754-5133
(512) 579-0184
Mailing address
5808 ADAIR DR, AUSTIN, TX 78754-5612
(512) 300-9064

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
183700000X
Pharmacy Technician
Primary
105641
TX

Other

Enumeration date
01/02/2020
Last updated
01/02/2020
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