Laura Requenez, PA

NPI #1649632266 in Selma, Texas

Provider Information

NPI Number
1649632266
Entity Type
Individual
Name
Laura Requenez, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Mar 23, 2016
Last Updated
Oct 28, 2024

Practice Location

Address
17766 VERDE PKWY STE 230
City
Selma
State
Texas
ZIP Code
78154-2226
Phone
(201) 998-2410

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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