Individual
RICARDO LLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1638 VZ CR 1803, GRAND SALINE, TX 75140
(903) 962-7595
Mailing address
1638 VZ COUNTY ROAD 1803, GRAND SALINE, TX 75140-3494
(903) 962-7595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214308
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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