Individual
ANDREW AMADEUS DE LOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
271 FORT RICHARDSON AVE BLDG 1001, GOODFELLOW AFB, TX 76908-4901
(325) 654-1484
Mailing address
3488 GARDEN AVE, MIF 4, SAN ANTONIO, TX 78234
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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