Organization
LUZ DE VIDA PHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA QUIROGA (OWNER)
(956) 371-9672
Entity
Organization
Contact information
Practice address
2776 W ALTON GLOOR BLVD STE 3, BROWNSVILLE, TX 78520-4025
(956) 801-2065
(956) 435-9253
Mailing address
2776 W ALTON GLOOR BLVD STE 3, BROWNSVILLE, TX 78520-4025
(956) 371-9672
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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