Individual
DIAMOND HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12777 W IH 10, SAN ANTONIO, TX 78230-1014
(210) 558-3027
Mailing address
12777 W IH 10, SAN ANTONIO, TX 78230-1014
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
298269
TX
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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