JANUARY DAWN IVANCIC

EL PASO, TX
NPI1730868993
Former NameJANUARY DAWN LOVETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1137078)
Additional Taxonomies207RI0200X Internal Medicine, Infectious Disease
(Licence: TX  1093395139)
Enumeration Date2023-07-14
Last Update Date2023-10-06
Business Address
Mrs. JANUARY DAWN IVANCIC
1205 N OREGON ST
EL PASO, TX 79902-4023
Phone number: 915-533-4900
Mailing Address
Mrs. JANUARY DAWN IVANCIC
156 SAND DRIFT PL
EL PASO, TX 79928-9113
Phone number: 915-400-8583