Individual
KIMBERLY BEBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7532 EAGLE VISTA DR, EL PASO, TX 79911-3153
(915) 309-2576
Mailing address
7532 EAGLE VISTA DR, EL PASO, TX 79911-3153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1004776
TX
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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