Organization
ADVANCED PROVIDERS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA E GAONA (OWNER / ADMINISTRATOR)
(915) 503-0481
Entity
Organization
Contact information
Practice address
3431 PERSHING DR STE A2, EL PASO, TX 79903-2701
(915) 503-0481
Mailing address
3431 PERSHING DR STE A2, EL PASO, TX 79903-2701
(915) 503-0481
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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