Individual
DIANE JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 TISON ST, BRENHAM, TX 77833-5363
(979) 203-9508
Mailing address
607 TISON ST, BRENHAM, TX 77833-5363
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
315323
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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