Individual
XENIA YEZABEL VELASQUEZ POLENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 CHERRY RIDGE ST STE D400, SAN ANTONIO, TX 78230-4820
(210) 238-0300
Mailing address
PO BOX 928, SOMERSET, TX 78069-0928
(210) 997-3019
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40441
TX
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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