Lourdes Llamileth Borunda
Technician, Other in Irving, TX. Individual provider (NPI-1).
NPI number1689169799
StatusActive
Last updated in NPPESJun 30, 2018
Details
- NPI
- 1689169799
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lourdes Llamileth Borunda
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2018
- Last updated
- Jun 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | TX |
Practice location
400 E Royal Ln Bldg 3Irving, TX 75039
Phone 558-326-7278
Mailing address
4575 Se Dixie HwyStuart, FL 34997-6826
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