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Individual

LILIAN JUDY WANGARI WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NEMT

Contact information

Practice address
1676 US HIGHWAY 190, HUNTSVILLE, TX 77340-7386
(936) 730-9553
Mailing address
1676 US HIGHWAY 190, HUNTSVILLE, TX 77340-7386
(936) 730-9553

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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