Most Relevant Information
Provider Data
| NPI Number: | 1003391947 |
| Provider Name: | BERTHA ALICIA CARVALLO CNA |
| Entity Type: | Individual |
| Taxonomy Code: | 253J00000X |
| Specialty: | Foster Care Agency |
| License Number: | LHOC14-00102 |
Most Important Dates
| Enumeration Date: | 09/26/2018 |
| Last Updated: | 09/26/2018 |
Provider Practice Location
2725 FILLMORE
EL PASO
TX
79930
Practice Location Phone/Fax
| Phone: | 9155660353 |
| Fax: |
Provider Mailing Location
2725 FILLMORE
EL PASO
TX
79930
Provider Mailing Phone/Fax
| Phone: | 9155660353 |
| Fax: |