Provider Information for 1124619416
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BERNINA ALAGIC LPC
Sex: Female
NPI: 1124619416
Last Updated: 2021-02-25
Certification Date: 2021-02-25
Certification Date: 2021-02-25
Details
| Name | Value | ||||||||||||||
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| NPI | 1124619416 | ||||||||||||||
| Enumeration Date | 2021-01-29 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | PO BOX 29735 SAN ANTONIO, TX 78229-0735 United States Phone: 210-447-7373 | Fax:210-444-2171 | ||||||||||||||
| Primary Practice Address | 5282 MEDICAL DR STE 605 SAN ANTONIO, TX 78229-6114 United States Phone: 210-447-7373 | Fax: | ||||||||||||||
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