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Individual

MS. ISELA JUAREZ-GRIJALVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
14285 HONEY POINT DR, EL PASO, TX 79938-1602
(915) 373-3359
Mailing address
14285 HONEY POINT DR, EL PASO, TX 79938-1602
(915) 373-3359

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT120383
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT120383
TEXAS DEPARTMENT OF HEALTH SERVICES
TX
Enumeration date
01/23/2019
Last updated
01/23/2019
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