Individual
MRS. ROSA GUTIERREZ MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
201 BLACKER AVE, EL PASO, TX 79902-3324
(915) 532-4327
(915) 532-4328
Mailing address
5852 LAWNDALE DR, EL PASO, TX 79912-4225
(915) 833-5483
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80068
TX
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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