Individual
MIA LERADO JAYME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2121
Mailing address
2906 IVORY TERRACE LN, PEARLAND, TX 77584-4584
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
682807
TX
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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