Individual
MRS. SHEMIKA LUTWIANE GOURDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 SHERWOOD FOREST ST APT 1508, HOUSTON, TX 77043-3605
(832) 434-6790
(832) 409-6606
Mailing address
1521 SHERWOOD FOREST ST APT 1508, HOUSTON, TX 77043-3605
(832) 434-6790
(832) 409-6606
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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