Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jan 12, 2021
License(s)
1020974 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14698 BRIAR FOREST DR APT 10301 | Houston, TX 77077-2624 | 713-319-8389 |
| LOCATION | 14698 BRIAR FOREST DR APT 10301 | Houston, TX 77077-2624 | 713-319-8389 |
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