Individual
MRS. CRUZ ELVIA CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10165 BERMUDA, EL PASO, TX 79925
(915) 598-1727
(915) 592-6707
Mailing address
10165 BERMUDA, EL PASO, TX 79925
(915) 598-1727
(915) 592-6707
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
150122
TX
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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