Individual
MANUELA MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5208 FM 1008, DAYTON, TX 77535-3759
(713) 857-4412
Mailing address
5208 FM 1008, DAYTON, TX 77535-3759
(713) 857-4412
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
226887
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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