Individual
RAQUEL BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 PEABODY AVE APT 1, EDINBURG, TX 78539-3837
(956) 564-9605
Mailing address
PO BOX 530015, HARLINGEN, TX 78553-0015
(956) 564-9605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
89205
TX
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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