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Individual

KIMBERLY RAQUEL DENISE CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
9238 N LOOP 1604 W, SAN ANTONIO, TX 78249-3526
(210) 682-3419
Mailing address
18200 BLANCO SPGS APT 2017, SAN ANTONIO, TX 78258-4572
(210) 995-5241

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
146288
TX

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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