Individual
CLOVER MOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MAIN ST, KERRVILLE, TX 78028-5204
(830) 895-3311
Mailing address
1435 W LYNWOOD AVE, SAN ANTONIO, TX 78201-4551
(210) 296-5954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74247
TX
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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