Individual
ANDREA DANIELA SANUDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3817 CONSTITUTION DR STE 100, EL PASO, TX 79922-1368
(915) 226-0367
Mailing address
3817 CONSTITUTION DR STE 100, EL PASO, TX 79922-1368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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