Individual
AMANDA GABRIELA SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12051 TIERRA ESTE RD, EL PASO, TX 79938-4573
(915) 921-6302
(915) 219-4450
Mailing address
12051 TIERRA ESTE RD, EL PASO, TX 79938-4573
(915) 921-6302
(915) 219-4450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50943
TX
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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