Individual
PAMELA GOZA-QUIROGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1402 15TH STREET, PORT BOLIVAR, TX 77650
(409) 684-7122
(409) 740-3561
Mailing address
PO BOX 643, 1402 15TH STREET, PORT BOLIVAR, TX 77650
(409) 684-7122
(409) 740-3561
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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