Individual
MARA YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 S FRY RD APT 218, KATY, TX 77450-7304
(832) 745-0053
Mailing address
3306 S FRY RD APT 218, KATY, TX 77450-7304
(832) 745-0053
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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