Individual
DANIKA SPAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
141 HARRIGAN CT, APT. 3, SAN ANTONIO, TX 78209-6391
(915) 449-6627
Mailing address
141 HARRIGAN CT, APT. 3, SAN ANTONIO, TX 78209-6391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7016
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7016
ACVREP
—
Enumeration date
09/28/2013
Last updated
09/28/2013
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