Individual
MRS. ROSA INES KLOCKSIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-2257
Mailing address
1984 PASEO SEGOVIA PL, EL PASO, TX 79936-3734
(915) 313-4202
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
2-57151
TX
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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