Individual
RUTH CASTANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 LARRY RD, CANUTILLO, TX 79835-8424
(915) 979-6488
Mailing address
1218 LARRY RD, CANUTILLO, TX 79835-8424
(915) 979-6488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
351350
TX
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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