Individual
MAYRA QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
536 S TEXAS BLVD STE 113, WESLACO, TX 78596-6259
(956) 854-4391
Mailing address
536 S TEXAS BLVD STE 113, WESLACO, TX 78596-6259
(956) 854-4391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64711
TX
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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