Individual
GUADALUPE LAREDO NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3244 E GLEN DR, EL PASO, TX 79936-1902
(915) 202-1646
Mailing address
3244 E GLEN DR, EL PASO, TX 79936-1902
(915) 202-1646
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215537
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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