Individual
MICHAEL LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12125 ALAMO RANCH PKWY, SAN ANTONIO, TX 78253-4334
(210) 688-9584
Mailing address
12125 ALAMO RANCH PKWY, SAN ANTONIO, TX 78253-4334
(210) 688-9584
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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