Individual
DOLORES CERVANTES LEIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 N ROSILLO, SAN ANTONIO, TX 78207-3706
(210) 227-0211
Mailing address
108 N ROSILLO, SAN ANTONIO, TX 78207-3706
(210) 227-0211
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
108697
TX
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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