Individual
MRS. JENNIFER GURROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
444 EXECUTIVE BLVD, SUITE 148, EL PASO, TX 79902
(915) 213-1389
Mailing address
3441 GLASGOW RD, EL PASO, TX 79925-2817
(915) 213-1289
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1010382
TX
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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