Individual
BLANCA M. SIFUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4312 MOBILE AVE, EL PASO, TX 79903-1120
(915) 562-1629
Mailing address
4312 MOBILE AVE, EL PASO, TX 79903-1120
(915) 562-1629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63198
TX
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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