Individual
KAISA ELIZABETH SANDOVAL RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 BELVIDERE ST, EL PASO, TX 79912-2649
(915) 833-2229
Mailing address
12872 HUECO HILL DR, EL PASO, TX 79938-5235
(915) 269-8230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2168844
TX
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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