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Individual

MS. LILLIAN BOTTS ZAPATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COSMETOLOGIST SPECIA

Contact information

Practice address
9200 BROADWAY ST, SUITE125E, SAN ANTONIO, TX 78217-5901
(210) 824-5299
(210) 824-5299
Mailing address
9200 BROADWAY, SUITE125E, SAN ANTONIO, TX 78217
(210) 824-5299
(210) 824-5299

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1081953
TX

Other

Enumeration date
05/20/2009
Last updated
05/20/2009
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