Individual
JACLYN SUZANNE ASTORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST # 121, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 617-5350
Mailing address
7518 ADRIENNE CT, SAN ANTONIO, TX 78240-3638
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1298
TX
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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