Individual
MARICELA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17238 BULVERDE RD, SAN ANTONIO, TX 78247-2401
(210) 495-0572
Mailing address
17238 BULVERDE RD, SAN ANTONIO, TX 78247-2401
(210) 495-0572
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
205588
TX
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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