Individual
LAIZA GIOANNA NEVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STA
Contact information
Practice address
444 EXECUTIVE CENTER BLVD, EL PASO, TX 79902-1058
(661) 400-8232
Mailing address
5939 OLEASTER DR, EL PASO, TX 79932-2345
(661) 400-8232
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40451
TX
Other
Enumeration date
02/16/2019
Last updated
02/16/2019
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