Individual
MIGUEL ESTEBAN HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5722 MIDDLESBORO AVE, EL PASO, TX 79924-6608
(915) 256-8202
Mailing address
5722 MIDDLESBORO AVE, EL PASO, TX 79924-6608
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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