Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1467742601 |
---|---|
Provider Name | Ms. Yasmin Elizondo |
First Address | Harlingen, TX 78550-7309 |
Second Address | Harlingen, TX 78550-7309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 08/04/2011 |