Individual
LORENA TANGUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 ANGELITA DR, WESLACO, TX 78599-5281
(956) 735-1988
Mailing address
709 ANGELITA DR, WESLACO, TX 78599-5281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210831
TX
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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