Individual
PAULINE MARIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7610 TYLER CREEK LN, HUMBLE, TX 77396-6064
(713) 823-6507
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
(713) 995-4402
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
121287
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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