Individual
ELENA CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 LOMALAND DR TRLR 43, EL PASO, TX 79907-3625
(915) 329-6154
Mailing address
615 LOMALAND DR TRLR 43, EL PASO, TX 79907-3625
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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