Individual
STEPHANIE REVELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5959 GATEWAY BLVD W STE 540, EL PASO, TX 79925-3395
(915) 455-7150
Mailing address
1422 GENE TORRES DR, EL PASO, TX 79936-6764
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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