ILDEFONSO CARRERA

EL PASO, TX
NPI1124607825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2097261)
Enumeration Date2021-04-08
Last Update Date2021-04-08
Business Address
ILDEFONSO CARRERA PTA
10188 SOCORRO RD
EL PASO, TX 79927-2322
Phone number: 915-479-1473
Mailing Address
ILDEFONSO CARRERA PTA
230 PVT JUAN GARCIA RD
SOCORRO, TX 79927-1323
Phone number: 915-479-1473
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