Individual
ALICIA VANDEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17460 IH 35 N, SCHERTZ, TX 78154-1243
(210) 651-1649
Mailing address
4611 ROCK NETTLE, SAN ANTONIO, TX 78247-5529
(210) 545-7078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40805
TX
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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