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Individual

ANN SETIAN DEMAIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1889 COUNTY ROAD 450, THORNDALE, TX 76577-5206
(714) 392-2823
Mailing address
PO BOX 159, THORNDALE, TX 76577-0159
(512) 375-6968

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
396991
CA
163WN0002X
Neonatal Intensive Care Registered Nurse
828491
TX
163WN0002X
Neonatal Intensive Care Registered Nurse
A003787
AR
363LN0000X
Neonatal Nurse Practitioner
Primary
828491
TX

Other

Enumeration date
12/19/2012
Last updated
11/19/2013
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