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Individual

CRISTAL CHANEL VEDIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 GUADALUPE ST, LAREDO, TX 78040-5343
(956) 724-1126
Mailing address
1301 GUADALUPE ST, LAREDO, TX 78040-5343
(956) 724-1126

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
288175
TX

Other

Enumeration date
01/12/2021
Last updated
01/12/2021
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