Individual
MS. LAVERNE GIDGET MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
32303 PINTAIL STREET, BROOKSHIRE, TX 77423
(281) 375-8962
Mailing address
32303 PINTAIL STREET, BROOKSHIRE, TX 77423
(832) 692-9461
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
74-3032742
NV
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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