Individual
JUSTIN LEE BEJARANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 ISMAEL MADRID ST, PRESIDIO, TX 79845
(432) 257-9730
Mailing address
1205 E RIO GRANDE, PRESIDIO, TX 79845
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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