Individual
TANEABA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
10375 RICHMOND AVE, 1575, HOUSTON, TX 77042-4143
(832) 361-4759
Mailing address
10375 RICHMOND AVE, 1575, HOUSTON, TX 77042-4143
(832) 361-4759
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
183700000X
TX
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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