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Individual

LETICIA REYES CORONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
520 NORTHWYCK WAY, EL PASO, TX 79928-7222
(915) 691-1857
Mailing address
520 NORTHWYCK WAY, EL PASO, TX 79928-7222
(915) 691-1857

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
TX
311ZA0620X
Adult Care Home Facility
Primary
F50025266
TX

Other

Enumeration date
06/15/2014
Last updated
07/21/2022
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