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Individual

MAYRA A DE LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
611 W EAGLE AVE, PHARR, TX 78577-8842
(956) 223-9118
(833) 860-7214
Mailing address
611 W EAGLE AVE, PHARR, TX 78577-8842
(956) 223-9118

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker
Primary
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
01/28/2017
Last updated
06/02/2020
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