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Individual

DECEMBER PLUMBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7633 BELLFORT ST, HOUSTON, TX 77061-1703
(713) 644-2102
Mailing address
5611 PRAISE CT, HOUSTON, TX 77048-1873
(832) 996-3872

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA0008748766
TX

Other

Enumeration date
03/18/2021
Last updated
03/18/2021
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