Individual
MRS. DEBORAH SAMS DELAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 WILDCAT DR, PORTLAND, TX 78374-2816
(361) 643-1514
(361) 643-9117
Mailing address
1600 WILDCAT DR, PORTLAND, TX 78374-2816
(361) 643-1514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24238
TX
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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