Individual
DANIEL ALBERTO BETANCOURT ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2879 MONTANA AVE, EL PASO, TX 79903-2407
(915) 566-4464
Mailing address
2879 MONTANA AVE, EL PASO, TX 79903-2407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71224
TX
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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