Provider Information for 1851561013
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GRACIELA RIOS LPC
Sex: Female
NPI: 1851561013
Last Updated: 2020-08-28
Certification Date: 2020-08-28
Certification Date: 2020-08-28
Details
Name | Value | ||||||||||||
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NPI | 1851561013 | ||||||||||||
Enumeration Date | 2008-03-04 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 352 JARDIN BELLO EL PASO, TX 79932-2357 United States Phone: 915-781-9900 | Fax:915-781-9930 | ||||||||||||
Primary Practice Address | 352 JARDIN BELLO EL PASO, TX 79932-2357 United States Phone: 915-726-2972 | Fax:915-781-9930 | ||||||||||||
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