Individual
IRENE TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8312 MINEOLA DR, EL PASO, TX 79925-4920
(915) 999-0669
Mailing address
8312 MINEOLA DR, EL PASO, TX 79925-4920
(915) 999-0669
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
213873
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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