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Individual

MS. JOYCE EVET SQUIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7400 MERTON MINTER ST # 11P, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
170 OUTER LOOP ROAD, USAMEDDAC KAHC ATTN: CREDENTIALS OFFICE, FORT IRWIN, CA 92310
(760) 380-2780
(760) 380-7101

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
612303
TX

Other

Enumeration date
11/08/2005
Last updated
10/08/2024
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