Individual
MRS. ANNISE COULOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13420 HICKORY SPRINGS LN, PEARLAND, TX 77584-6546
(240) 423-5746
Mailing address
13420 HICKORY SPRINGS LN, PEARLAND, TX 77584-6546
(240) 423-5746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
934859
TX
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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