Individual
MONIQUE GAIL DELA CRUZ BACTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3663 WASHINGTON AVE STE 100, HOUSTON, TX 77007-6469
(713) 426-1961
Mailing address
5651 HORSESHOE FLS, MISSOURI CITY, TX 77459-6911
(832) 316-4510
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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