Individual
CONSETTI THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 SAN SEBASTIAN CT APT 70, HOUSTON, TX 77058-3614
(832) 888-1780
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
130230
TX
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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