Individual
MS. DORA LUZ MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3607 RIVERA AVE, EL PASO, TX 79905-2415
(915) 533-7057
(915) 533-7197
Mailing address
10521 CANDLEWOOD AVE, EL PASO, TX 79925-7907
(915) 598-4014
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
253435
TX
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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