Individual
WALESKA CITLALY BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 W SLAUGHTER LN, AUSTIN, TX 78749-6507
(512) 301-9772
Mailing address
5800 W SLAUGHTER LN, AUSTIN, TX 78749-6507
(512) 301-9772
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
40317
TX
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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