Individual
ELSABETH DAPHNE BONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13846 CRESTED RISE, SAN ANTONIO, TX 78217-1453
(814) 574-4535
Mailing address
13846 CRESTED RISE, SAN ANTONIO, TX 78217-1453
(814) 574-4535
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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