Individual
GRACIELA FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 ELDERICA CT, ODESSA, TX 79765-8522
(432) 661-9157
Mailing address
3921 ELDERICA CT, ODESSA, TX 79765-8522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
505210
TX
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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