Individual
ANTONINE JEAN BAPTISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2214 FENTON ROCK LN, KATY, TX 77494-6635
(954) 254-6910
Mailing address
2214 FENTON ROCK LN, KATY, TX 77494-6635
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321031
TX
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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