Individual
CHANCE EVANGELINE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2805 PENWOOD, EL PASO, TX 79935
(915) 801-9599
Mailing address
2805 PENWOOD, EL PASO, TX 79935
(915) 801-9599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
987183
TX
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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