Individual
HEATHER MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11899 STONE CASTLE DR, EL PASO, TX 79936-2622
(915) 204-0210
Mailing address
11899 STONE CASTLE DR, EL PASO, TX 79936-2622
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233822
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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