Provider Demographics
NPI:1417524646
Name:ARREDONDO, VERONICA LYNN (CPT)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:LYNN
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16275 SENIOR RD
Mailing Address - Street 2:
Mailing Address - City:VON ORMY
Mailing Address - State:TX
Mailing Address - Zip Code:78073-4210
Mailing Address - Country:US
Mailing Address - Phone:210-387-0979
Mailing Address - Fax:
Practice Address - Street 1:9255 GRISSOM RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-2805
Practice Address - Country:US
Practice Address - Phone:210-680-2958
Practice Address - Fax:210-509-0338
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291357183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician