Individual
DAIJZA CACHE HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NORTHWOOD DR, BAYTOWN, TX 77521-3927
(281) 301-9611
Mailing address
1905 W HUMBLE ST, BAYTOWN, TX 77520-4338
(281) 301-9611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
03/30/2019
Last updated
06/11/2019
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