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Individual

MRS. ISELA DE BACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHES

Contact information

Practice address
8061 ALAMEDA AVE, EL PASO, TX 79915-4705
(915) 859-7545
(915) 859-9862
Mailing address
8061 ALAMEDA AVE, EL PASO, TX 79915-4705
(915) 859-7545
(915) 859-9862

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
9908
TX

Other

Enumeration date
11/04/2013
Last updated
05/23/2014
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