Individual
JUANITA KIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, EL PASO, TX 79906-5327
(915) 742-0217
Mailing address
18511 HIGHLANDER MEDICS ST, EL PASO, TX 79906-5327
(915) 742-0217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209821
TX
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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