Individual
ANGELICA MARIA ELIZALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9255 GRISSOM RD, SAN ANTONIO, TX 78251-2805
(210) 680-2958
(210) 509-0338
Mailing address
9255 GRISSOM RD, SAN ANTONIO, TX 78251-2805
(210) 680-2958
(210) 509-0338
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
208476
TX
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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