Daniel Balboa

NPI #1952847550 in Kenedy, Texas

Provider Information

NPI Number: 1952847550
Entity Type: Individual
Name: Daniel Balboa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 6, 2017
Last Updated: Jan 6, 2017

Practice Location

Address: 107 N SUNSET STRIP ST
City: Kenedy
State: Texas
ZIP Code: 78119-2208
Phone: (830) 583-9155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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