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Individual

JENISSA HARRY LOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3436 MIKE GODWIN DR, EL PASO, TX 79936-2765
(915) 888-0931
Mailing address
3436 MIKE GODWIN DR, EL PASO, TX 79936-2765
(915) 888-0931

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
374700000X
Technician
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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