Individual
MS. WANDA K WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16014 MISSION VILLAGE DR, HOUSTON, TX 77083-2317
(281) 330-3816
Mailing address
16014 MISSION VILLAGE DR, HOUSTON, TX 77083-2317
(281) 330-3816
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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