Individual
LISA HANNIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4123
(832) 724-0091
Mailing address
5407 BOLIVIA BLVD, HOUSTON, TX 77091-5009
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172P00000X
Naprapath
—
—
174200000X
Meals Provider
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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