Individual
EVELYN VALLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W INTERSTATE 2 STE D, SAN JUAN, TX 78589-3632
(956) 332-5409
(956) 516-3580
Mailing address
5 EASTER DR, PHARR, TX 78577-2559
(956) 530-4392
(956) 516-3580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
017898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367034101
—
TX
Enumeration date
10/02/2017
Last updated
10/02/2017
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