Individual
KRYSTAL DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8754 WELLES DALE DR, SAN ANTONIO, TX 78240-2113
(210) 748-2031
Mailing address
8754 WELLES DALE DR, SAN ANTONIO, TX 78240-2113
(210) 748-2031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7250
TX
390200000X
Student in an Organized Health Care Education/Training Program
34908741
TX
Other
Enumeration date
05/05/2017
Last updated
10/25/2019
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