Individual
MS. BLAIRE MARIE TACQUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2306 COUNTY ROAD 160, ALVIN, TX 77511-6198
(832) 282-9355
Mailing address
2306 COUNTY ROAD 160, ALVIN, TX 77511-6198
(832) 282-9355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
944378
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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