Individual
LARISA AKASENG TAZOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 WILCREST DR STE 110, HOUSTON, TX 77042-2772
(713) 666-8287
Mailing address
2424 WILCREST DR STE 110, HOUSTON, TX 77042-2772
(713) 666-8287
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
28286
TX
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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