Individual
MISS BERENICE MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 S BRYAN RD, MISSION, TX 78572-6613
(956) 323-1570
Mailing address
1424 LEANN RIMES RD APT A, EDINBURG, TX 78542-1743
(956) 844-3305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2115717
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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