Individual
JUAN PABLO ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3607 RIVERA AVE, EL PASO, TX 79905-2415
(915) 857-2638
Mailing address
12725 TUSCAN SUN CT, EL PASO, TX 79938-4385
(915) 373-0783
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141290
TX
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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