Individual
LISA UTTERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 GLENWOOD AVE, DEER PARK, TX 77536-7901
(281) 476-0088
Mailing address
4525 GLENWOOD AVE, DEER PARK, TX 77536-7901
(281) 476-0088
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1783-0523
TX
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
About Stedi
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