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Individual

JACQUELINE VILLALVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6601 MONTANA AVE STE G, EL PASO, TX 79925-2143
(915) 838-7604
Mailing address
220 N KANSAS ST # 508, EL PASO, TX 79901-1410

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35119
TX

Other

Enumeration date
10/09/2009
Last updated
10/09/2009
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