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Individual

SAN JUANITA VILLANUEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10618 CAT MOUNTAIN, SAN ANTONIO, TX 78251
(210) 401-0195
Mailing address
10618 CAT MTN, SAN ANTONIO, TX 78251-4007

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40838
TX

Other

Enumeration date
10/01/2018
Last updated
10/01/2018
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