Individual
MRS. MARY AURORA SOLIZ-DARAMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N KELLY AVE, ODESSA, TX 79763-4152
(432) 212-8224
Mailing address
520 N KELLY AVE, ODESSA, TX 79763-4152
(432) 212-8224
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
12225123
TX
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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