ACTIVE PROVIDER SERVICE LLC

SAN ANTONIO, TX
NPI1477172534
Entity TypeOrganization
Authorized ContactJOANN GOMEZ
CEO
210-993-4000
Organization Subpart ?No
Primary Taxonomy372600000X Adult Companion
Enumeration Date2020-04-09
Last Update Date2021-11-03
Business Address
ACTIVE PROVIDER SERVICE LLC
215 N LOOP 1604 E APT 4106
SAN ANTONIO, TX 78232-1280
Phone number: 210-993-4000
Mailing Address
ACTIVE PROVIDER SERVICE LLC
215 N LOOP 1604 E APT 4106
SAN ANTONIO, TX 78232-1280
Phone number: 210-993-4000
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