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Individual

MASHANDA DESHAZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA,CMA,RMA,RP,LVNRN

Contact information

Practice address
10807 MISTY RIVER DR, HOUSTON, TX 77086-1919
(214) 277-9439
Mailing address
7200 T C JESTER BLVD, HOUSTON, TX 77088-7458
(832) 654-0396
(832) 288-4192

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
376K00000X
Nurse's Aide
NA0010075140
OK

Other

Enumeration date
04/12/2017
Last updated
11/30/2017
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