Kaybella12 LLC

NPI #1730675521 in Donna, Texas

Provider Information

NPI Number
1730675521
Entity Type
Organization
Organization Name
Kaybella12 LLC
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Jul 5, 2018
Last Updated
Jul 5, 2018

Practice Location

Address
308 N SALINAS BLVD
City
Donna
State
Texas
ZIP Code
78537-2930
Phone
(956) 464-4497

Authorized Official

Name
JULIO CESAR AVILA
Title
OWNER/MANAGER
Phone
(956) 464-4497

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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