Individual
DEDRA MECHELLE BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
1601 W SHANE ST, ALVIN, TX 77511-3126
(281) 734-5240
Mailing address
1601 W SHANE ST, ALVIN, TX 77511-3126
(281) 734-5240
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
126035
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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