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Individual

MARQUITA BRIDDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
6101 ANTOINE DR APT 422, HOUSTON, TX 77091-3508
(254) 371-1687
Mailing address
6101 ANTOINE DR APT 422, HOUSTON, TX 77091-3508

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
318391
TX

Other

Enumeration date
01/07/2019
Last updated
01/07/2019
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