Individual
CRYSTAL DENISE PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
221 N KANSAS ST STE 744, EL PASO, TX 79901-1443
(915) 213-1289
Mailing address
12915 HUECO SANDS DR, EL PASO, TX 79938-5247
(915) 730-0154
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338183
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952346876
HOME HEALTH
—
Enumeration date
08/21/2018
Last updated
08/21/2018
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