Individual
STEPHEN KAGONDU WAIGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1755 CURIE DR, # A, EL PASO, TX 79902-2919
(915) 544-3636
Mailing address
7401 PHOENIX AVE, APT 46, EL PASO, TX 79915-1932
(915) 227-1719
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2082367
TX
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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