Individual
BLANCA YASMIN IBARRA MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51615 ZUNI CIR APT 4, FORT CAVAZOS, TX 76544-2145
(254) 402-6200
Mailing address
51615 ZUNI CIR APT 4, FORT CAVAZOS, TX 76544-2145
(254) 402-6200
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
44157874
TX
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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