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1912677550
HERMOSA VICTORIA PROVIDER AGENCY LLC
MCALLEN, TX
NPI
1912677550
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Entity Type
Organization
Authorized Contact
JAVIER HERNANDEZ
Administrator
956-321-9067
Organization Subpart ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-09-15
Last Update Date
2022-09-13
Business Address
HERMOSA VICTORIA PROVIDER AGENCY LLC
2511 BUDDY OWENS AVE STE E
MCALLEN, TX 78504-5427
Phone number: 956-321-9067
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Mailing Address
HERMOSA VICTORIA PROVIDER AGENCY LLC
1960 ZENAIDA AVE
MCALLEN, TX 78504-5625
Phone number: 956-321-9067
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