Individual
MRS. MARIA SUZANNE MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
123 CACTUS RD, WAXAHACHIE, TX 75165-6927
(972) 825-3713
Mailing address
123 CACTUS RD, WAXAHACHIE, TX 75165-6927
(972) 825-3713
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
10212
TX
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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