Individual
KISHIA EILEEN SAN GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 CORONA DR STE 144, CORPUS CHRISTI, TX 78411-4322
(361) 854-1110
Mailing address
4444 CORONA DR STE 144, CORPUS CHRISTI, TX 78411-4322
(361) 854-1110
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42383
TX
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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