Individual
ADELA LORENA AMEZQUITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
2930 KINGFISHER DR, HUMBLE, TX 77396-4802
(832) 229-8414
Mailing address
2930 KINGFISHER DR, HUMBLE, TX 77396-4802
(832) 229-8414
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-143
TX
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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