Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2311839 | ZZ |
NPI | 1003056599 |
---|---|
Provider Name | Araceli Osoria |
First Address | El Paso, TX 79913-0385 |
Second Address | Dc. Juarez, CHIHUAHUA 32310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2009 |
Last Update Date | 24/02/2009 |