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Individual

IDALY MALDONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2077 N ZARAGOZA RD STE A102, EL PASO, TX 79938-7900
(915) 274-4125
Mailing address
1329 MICHELANGELO DR, EL PASO, TX 79936-7245
(915) 316-3256

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT112260
TX

Other

Enumeration date
10/23/2024
Last updated
10/23/2024
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