Most Relevant Information
Provider Data
| NPI Number: | 1003266909 |
| Provider Name: | KAYLA CANTU |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2016 |
| Last Updated: | 06/21/2016 |
Provider Practice Location
1111 AVALON AVE APT 612
SAN MARCOS
TX
786666153
Practice Location Phone/Fax
| Phone: | 9565457002 |
| Fax: |
Provider Mailing Location
1111 AVALON AVE APT 612
SAN MARCOS
TX
786666153
Provider Mailing Phone/Fax
| Phone: | 9565457002 |
| Fax: |