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Individual

REYMUNDO QUEZADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4211 GARDENDALE ST STE 200A, SAN ANTONIO, TX 78229-3529
(210) 615-7837
Mailing address
4211 GARDENDALE ST STE 200A, SAN ANTONIO, TX 78229-3529

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
37303
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124259502
TX
05
1578708483
TX
Enumeration date
08/31/2018
Last updated
08/31/2018
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