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Individual

BRYAN OSMAR CASANOVA CERVANTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
721 CASTROVILLE RD, SAN ANTONIO, TX 78237-3134
(210) 436-6465
Mailing address
721 CASTROVILLE RD, SAN ANTONIO, TX 78237-3134
(210) 436-6465

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
306526
TX

Other

Enumeration date
04/11/2021
Last updated
04/11/2021
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