Individual
MRS. ELIVA VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 SHADBUSH ST, SAN ANTONIO, TX 78245-2797
(210) 304-0001
Mailing address
311 SHADBUSH ST, SAN ANTONIO, TX 78245-2797
(210) 304-0001
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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