Individual
MS. EDELMIRA O RESENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 E US HIGHWAY 77 SUITE A, SAN BENITO, TX 78586-5570
(956) 399-4997
Mailing address
820 E US HIGHWAY 77, SUITE A, SAN BENITO, TX 78586-5570
(956) 399-4997
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
115418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000305700
—
TX
Enumeration date
07/16/2007
Last updated
03/13/2020
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