Individual
CAROL LYN BRONDSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,B.A.
Contact information
Practice address
1234 BAY AREA BLVD, HOUSTON, TX 77058-2538
(281) 488-7221
Mailing address
1234 BAY AREA BLVD, HOUSTON, TX 77058-2538
(281) 488-7221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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