Individual
DIANE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1565 SNOWY PLOVER, EL PASO, TX 79928-5838
(915) 630-3438
Mailing address
1565 SNOWY PLOVER, EL PASO, TX 79928-5838
(915) 630-3438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
895147
TX
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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