Individual
JACKLINE REALYNN SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA/CST
Contact information
Practice address
3463 MAGIC DR STE T21, SAN ANTONIO, TX 78229-3621
(210) 614-8101
Mailing address
3010 W LOOP 1604 N, SAN ANTONIO, TX 78251-3905
(210) 178-1210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
175868
TX
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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