Individual
LYDIA GURROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4207 GARDENDALE ST STE 104B, SAN ANTONIO, TX 78229-3142
(210) 582-5840
Mailing address
4207 GARDENDALE ST STE 104B, SAN ANTONIO, TX 78229-3142
(210) 582-5840
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41632
TX
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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