JOHNATTAN RIVERA VISALDEN

EL PASO, TX
NPI1649044728
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10100566)
Enumeration Date2023-11-09
Last Update Date2026-07-09
Business Address
JOHNATTAN RIVERA VISALDEN MD
4615 ALAMEDA AVE
EL PASO, TX 79905-2702
Phone number: 915-215-5145
Mailing Address
JOHNATTAN RIVERA VISALDEN MD
4615 ALAMEDA AVE
EL PASO, TX 79905-2702
Phone number: 915-215-8000
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