Raices Provider Services, LLC

NPI #1013549922 in San Juan, Texas

Provider Information

NPI Number
1013549922
Entity Type
Organization
Organization Name
Raices Provider Services, LLC
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Feb 8, 2020
Last Updated
Feb 8, 2020

Practice Location

Address
120 AMY DR
State
Texas
ZIP Code
78589-3700
Phone
(956) 402-1603

Authorized Official

Name
CORINA SALAZAR
Title
OWNER
Phone
(956) 402-1603

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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