Individual
EVANGELINA L AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10660 W FM 471, SAN ANTONIO, TX 78251-1320
(210) 684-1234
Mailing address
10660 W FM 471, SAN ANTONIO, TX 78251-1320
(210) 684-1234
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100714
TX
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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