Individual
MARIAM ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 RICK FRANCIS ST # 24002, EL PASO, TX 79905-2817
(915) 215-6700
Mailing address
222 RICK FRANCIS ST # 24002, EL PASO, TX 79905-2817
(915) 215-6700
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
40368
TX
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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