Individual
NOUR NOUEILATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3607 MATILDE CT, PEARLAND, TX 77584-9490
(512) 905-4598
Mailing address
3607 MATILDE CT, PEARLAND, TX 77584-9490
(512) 905-4598
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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