Individual
ALEXIS RENEE VAQUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5522 LONESTAR PARKWAY, BUILDING 3 SUITE 101, SAN ANTONIO, TX 78253-5036
(210) 670-8028
Mailing address
5522 LONE STAR PKWY STE 101, SAN ANTONIO, TX 78253-6719
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
05/11/2020
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