Individual
MRS. ELDA ANTONIA DESANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 82ND ST, STE B, LUBBOCK, TX 79423-2223
(806) 745-5413
(806) 745-5580
Mailing address
2526 82ND ST, STE B, LUBBOCK, TX 79423-2223
(806) 745-5413
(806) 745-5580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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