Individual
BENJAMIN ENRIQUE MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1974 PUEBLO NUEVO CIR, EL PASO, TX 79936-3710
(915) 777-9811
Mailing address
1974 PUEBLO NUEVO CIR, EL PASO, TX 79936-3710
(915) 777-9811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18277
FL
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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