Individual
ALYSSA AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 GARDENDALE ST STE A201, SAN ANTONIO, TX 78229-3180
(210) 614-4434
(210) 614-4407
Mailing address
16201 ROUGH OAK ST APT 1313, SAN ANTONIO, TX 78232-1854
(946) 207-8696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
37835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37835
TX STATE BOARD OF SPEECH AND AUDIOLOGY
TX
Enumeration date
09/10/2018
Last updated
09/10/2018
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