Individual
LARMAY SHANE BOCOBOC VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W 25TH ST APT 2215, HOUSTON, TX 77008-3184
(808) 683-5864
Mailing address
401 W 25TH ST APT 2215, HOUSTON, TX 77008-3184
(808) 683-5864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1073901
TX
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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