Individual
JESUS MANUEL VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10105 WOLVERINE DR, EL PASO, TX 79924-4311
(915) 329-9131
Mailing address
401 PRIME DESERT DR, EL PASO, TX 79932-2146
(915) 329-9131
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
TX
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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