STEPHANIE MARIE BANUELOS

SOCORRO, TX
NPI1528548534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  213408)
Enumeration Date2018-08-19
Last Update Date2018-08-20
Business Address
STEPHANIE MARIE BANUELOS COTA
10064 ALAMEDA AVE
SOCORRO, TX 79927
Phone number: 915-773-0730
Mailing Address
STEPHANIE MARIE BANUELOS COTA
7825 LEDBETTER RD
VINTON, TX 79821-8607
Phone number:
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