Individual
DEYANIRA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10333 GROUSE RD, EL PASO, TX 79924-2725
(915) 850-4896
(915) 590-5864
Mailing address
520 EAST RD, EL PASO, TX 79915-3005
(915) 850-4896
(915) 590-5864
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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