Individual
GRISELDA P OAXACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5380 N MESA ST STE 108, EL PASO, TX 79912-5869
(915) 613-3989
(915) 503-2737
Mailing address
5380 N MESA ST STE 108, EL PASO, TX 79912-5869
(915) 613-3989
(915) 503-2737
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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