Individual
ANNETTE ANNETTE ENABABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5511 PARKCREST DR, SUITE 103, AUSTIN, TX 78731
(301) 806-8364
Mailing address
PO BOX 1681, GEORGETOWN, TX 78627-1681
(301) 806-8364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51052
TX
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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