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Organization

KAMANONIE L. WILEY

Active
Other names
Project Starz
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KAMANONIE LATISHA WILEY MSW (ADMINISTRATOR)
(504) 235-9247
Entity
Organization

Contact information

Practice address
8300 BISSONETT, 315, HOUSTON, TX 77074-5716
(832) 892-9089
(713) 995-5356
Mailing address
2470 S DAIRY ASHFORD ST, 137, HOUSTON, TX 77077-5716
(832) 892-9089
(713) 995-5356

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
012370
TX

Other

Enumeration date
03/05/2009
Last updated
03/18/2009
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