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Individual

SANDY VERONICA ZESATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7170 ROYAL PALM ST, EL PASO, TX 79912-7255
(915) 920-6639
Mailing address
7170 ROYAL PALM ST, EL PASO, TX 79912-7255
(915) 920-6639

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
24623011
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24570109
TX
Enumeration date
02/16/2016
Last updated
02/16/2016
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