Individual
MARINA ALTAMIRANO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 EXECUTIVE CENTER BLVD, EL PASO, TX 79902-1058
(915) 213-1289
Mailing address
444 EXECUTIVE CENTER BLVD, EL PASO, TX 79902-1058
(915) 213-1289
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343730
TX
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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