Individual
CARLA RILEY BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
829 RIO GRANDE AVE, PORT ARTHUR, TX 77642-1521
(832) 343-8343
Mailing address
829 RIO GRANDE AVE, PORT ARTHUR, TX 77642-1521
(832) 343-8343
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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