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Individual

YARIANNE DE LA CRUZ DE LOS SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19447 GRAND COLONY CT, KATY, TX 77449-4541
(713) 427-2908
Mailing address
19447 GRAND COLONY CT, KATY, TX 77449-4541
(713) 427-2908

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
972603
TX
163WP0200X
Pediatric Registered Nurse
219677
TX
163WP0200X
Pediatric Registered Nurse
972603
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
HOME HEALTH
Enumeration date
07/03/2019
Last updated
01/12/2023
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