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Individual

IRMA ISELA OLIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6111 ALAMEDA AVE, EL PASO, TX 79905-4734
(915) 772-2045
(915) 772-7275
Mailing address
6111 ALAMEDA AVE, EL PASO, TX 79905-4734
(915) 772-2045
(915) 772-7275

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12257
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29013744
TX
Enumeration date
07/02/2021
Last updated
07/02/2021
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