Individual
MARTHA I VEGAVALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10808 TOM KITE CT, EL PASO, TX 79935-3720
(915) 256-5076
Mailing address
10808 TOM KITE CT, EL PASO, TX 79935-3720
(915) 256-5076
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
LBHM18-00003
TX
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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