Individual
ANAKAREN DE JESUS ELIZONDO CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 WESTLAKE DR STE 105, WEST LAKE HILLS, TX 78746-9818
(512) 813-7272
Mailing address
102 WESTLAKE DR STE 105, WEST LAKE HILLS, TX 78746-9818
(512) 813-7272
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
44050196
TX
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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