Individual
ASHLEY NICOLE BAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N LOOP 1604 W, SAN ANTONIO, TX 78248-4552
(210) 408-8145
(866) 547-6630
Mailing address
1150 N LOOP 1604 W, SAN ANTONIO, TX 78248-4552
(210) 408-8145
(866) 547-6630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71065
TX
Other
Enumeration date
07/21/2022
Last updated
10/12/2022
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