Individual
CORINA BALDERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 OBLATE AVE, MISSION, TX 78572-4027
(956) 205-2584
(956) 580-2199
Mailing address
4714 N BENTSEN PALM DR, MISSION, TX 78574-7112
(956) 205-2584
(956) 271-4324
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
138248
TX
Other
Enumeration date
07/18/2014
Last updated
10/02/2014
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