Individual
HAZEL BEATRIZ NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
913 DAKOTA RIVER AVE, EL PASO, TX 79932-1836
(915) 262-6318
Mailing address
913 DAKOTA RIVER AVE, EL PASO, TX 79932-1836
(915) 262-6318
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
320475
TX
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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