Individual
MARY YETULA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19907 GATLING CT, KATY, TX 77449-3315
(414) 416-6652
Mailing address
19907 GATLING CT, KATY, TX 77449-3315
(414) 416-6652
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
893944
TX
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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