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Individual

IMELDA DIALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8422 ADLER LAKE DR, HOUSTON, TX 77083-5272
(281) 277-7827
Mailing address
8422 ADLER LAKE DR, HOUSTON, TX 77083-5272

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
AP126923
TX

Other

Enumeration date
11/20/2014
Last updated
11/20/2014
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