Individual
JAVIER POLENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 MARLOW RD, EL PASO, TX 79905-3204
(915) 208-5628
Mailing address
1020 MARLOW RD, EL PASO, TX 79905-3204
(915) 208-5628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
06/12/2024
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