Individual
FAVIOLA PARRA-JAQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E YANDELL DR, EL PASO, TX 79902-5677
(915) 599-6680
Mailing address
1601 E YANDELL DR, EL PASO, TX 79902-5677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
573161
TX
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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