Individual
MINERVA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JAMES CHISUM DR, EL PASO, TX 79936-6117
(915) 252-6154
Mailing address
1514 JAMES CHISUM DR, EL PASO, TX 79936-6117
(915) 252-6154
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
17148711
TX
374U00000X
Home Health Aide
Primary
17148711
TX
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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