Individual
JUSTINA A PROSPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12660 PEBBLE HILLS BLVD, EL PASO, TX 79938-4886
(915) 990-1700
Mailing address
10476 ETHYL HART ST, SOCORRO, TX 79927-4625
(915) 229-0579
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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