Individual
EVELYN MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7908 HEMLOCK ST, EL PASO, TX 79925-7726
(706) 386-5590
Mailing address
7908 HEMLOCK ST, EL PASO, TX 79925-7726
(706) 386-5590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211940
TX
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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