Individual
BRISA JANAE CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 N ZARAGOZA RD, EL PASO, TX 79936-7908
(915) 856-0071
Mailing address
416 AMALIA DR, HORIZON CITY, TX 79928-7200
(915) 282-2146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71636
TX
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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