Individual
MRS. NAKISHA HEATHMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 HAZLITT DR, HOUSTON, TX 77032-2060
(832) 756-3450
Mailing address
2120 HAZLITT DR, HOUSTON, TX 77032-2060
(832) 756-3450
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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