Individual
MRS. YVONNE HEREDIA-KOSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2900 PERSHING DR, SUITE B, EL PASO, TX 79903-2403
(915) 562-8525
(915) 566-3889
Mailing address
6724 DESERT CANYON DR, EL PASO, TX 79912-7604
(915) 845-3152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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