LUIS S BAEZA

EL PASO, TX
NPI1952866261
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  210926)
Enumeration Date2019-01-31
Last Update Date2019-01-31
Business Address
LUIS S BAEZA COTA
10880 EDGEMERE BLVD
EL PASO, TX 79935-1306
Phone number: 915-590-7800
Mailing Address
LUIS S BAEZA COTA
365 LA PUESTA DR APT 271
EL PASO, TX 79932-8513
Phone number: 915-207-4869
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