Individual
MAYENI YANSANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18606 LANTERN WALK LN, KATY, TX 77449-1440
(281) 940-9349
Mailing address
18606 LANTERN WALK LN, KATY, TX 77449-1440
(281) 940-9349
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
933658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
933658
TX BON
TX
Enumeration date
09/21/2018
Last updated
09/21/2018
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