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Individual

RUBEN DE LA ROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
820 S LOUISIANA AVE, WESLACO, TX 78596-6836
(956) 463-5809
(956) 969-1418
Mailing address
820 S LOUISIANA AVE, WESLACO, TX 78596-6836
(956) 463-5809
(956) 969-1418

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary

Other

Enumeration date
05/12/2010
Last updated
05/12/2010
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