Individual
DIANA VAZQUEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6605 PASO REDONDO AVE., EL PASO, TX 79912-3231
(915) 626-9024
Mailing address
6605 PASEO REDONDO AVE, EL PASO, TX 79912-3231
(915) 626-9024
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
LHOC16-00070
TX
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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