JUAN CARLOS DIAZ

EL PASO, TX
NPI1992498513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: TX  LHOC23-00038)
Enumeration Date2023-05-30
Last Update Date2023-05-30
Business Address
JUAN CARLOS DIAZ
3152 BLUE DIRT CIR
EL PASO, TX 79938-2506
Phone number: 915-922-0313
Mailing Address
JUAN CARLOS DIAZ
3152 BLUE DIRT CIR
EL PASO, TX 79938-2506
Phone number: 915-922-0313
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