Individual
JOHANNA LUCIO LEIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
4134 CORNELL ST, HOUSTON, TX 77022-4652
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1174321
TX
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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