Individual
MRS. IVANIA VIANEY LONGORIA DORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 W OCEAN BLVD, LOS FRESNOS, TX 78566-3635
(956) 233-4111
Mailing address
154 VARADERO ST, BROWNSVILLE, TX 78526-1975
(956) 280-0172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120009
TX
Other
Enumeration date
06/13/2019
Last updated
03/19/2023
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