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Individual

MRS. KIYOKO AUGUSTUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ORGANIZATION

Contact information

Practice address
12337 JONES RD STE 200-7, HOUSTON, TX 77070-4892
(281) 653-2040
Mailing address
12337 JONES RD STE 200-7, HOUSTON, TX 77070-4892
(281) 653-2040

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
02/19/2019
Last updated
02/19/2019
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