Organization
SOL Y LUNA PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE LARA (PRESIDENT)
(915) 850-4896
Entity
Organization
Contact information
Practice address
1819 MIKE HILL DR, EL PASO, TX 79936-4209
(915) 850-4896
Mailing address
1819 MIKE HILL DR, EL PASO, TX 79936-4209
(915) 850-4896
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
08/29/2024
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