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Individual

MISS AISHA WALDRUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15313 KINGFIELD DR, HOUSTON, TX 77084-1410
(281) 940-5933
Mailing address
15313 KINGFIELD DR, HOUSTON, TX 77084-1410
(281) 940-5933

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
347C00000X
Private Vehicle

Other

Enumeration date
06/22/2013
Last updated
06/22/2013
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