DUELL M SHAW

EL PASO, TX
NPI1225878523
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10090579)
Enumeration Date2024-05-27
Last Update Date2024-10-31
Business Address
DUELL M SHAW DO
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-539-0223
Mailing Address
DUELL M SHAW DO
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: