Individual
DANIELA DENICE MORENO DE MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(210) 941-0967
Mailing address
11922 PURE SILVER, SAN ANTONIO, TX 78254-6226
(956) 763-0645
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
37027
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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