Individual
CLAUDIA V MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11334 SSG SIMS RD, FORT BLISS, TX 79908
(915) 274-4922
Mailing address
352 LYNNE WAY, EL PASO, TX 79915-4120
(915) 274-4922
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
37529
TX
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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