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Individual

LENISHA JUSTINA WEDLAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12338 MILLBANKS DR, HOUSTON, TX 77031-3215
(832) 613-1613
Mailing address
12338 MILLBANKS DR, HOUSTON, TX 77031-3215
(832) 613-1613

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
11598762
TX

Other

Enumeration date
10/06/2018
Last updated
10/06/2018
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