Individual
PACIFICO MARAVILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E NOLANA LOOP, STE. F, PHARR, TX 78577-9684
(956) 702-5199
(956) 702-5207
Mailing address
300 E NOLANA LOOP, STE. F, PHARR, TX 78577-9684
(956) 702-5199
(956) 702-5207
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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