Individual
MRS. BIANCA ALICIA JACLYN PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8623 N LOOP DR, EL PASO, TX 79907-4520
(915) 881-4155
Mailing address
12576 TWIN LEAF DR, EL PASO, TX 79928-5837
(915) 867-6252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1123563
TX
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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