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Individual

CHESLA MARIE MACIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4030 HIGHWAY 6 S STE 150, COLLEGE STATION, TX 77845-1808
(979) 431-3380
Mailing address
8024 RED OAK RD, NORTH ZULCH, TX 77872-6114

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
891302
TX

Other

Enumeration date
04/11/2019
Last updated
04/11/2019
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