Provider Information for 1285315515
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NITZY MARGOTH OCORO MOSQUERA
Sex: Female
NPI: 1285315515
Last Updated: 2023-07-28
Certification Date: 2023-07-28
Certification Date: 2023-07-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285315515 | ||||||||
| Enumeration Date | 2023-07-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1200 SEABROOK DR PLANO, TX 75023-2826 United States Phone: 214-336-9817 | Fax: | ||||||||
| Primary Practice Address | 1200 SEABROOK DR PLANO, TX 75023-2826 United States Phone: 214-336-9817 | Fax: | ||||||||
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