Individual
CLELA MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 THAYER RD, LIVINGSTON, TX 77351-1647
(936) 328-6653
Mailing address
303 THAYER RD, LIVINGSTON, TX 77351-1647
(936) 328-6653
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347424
TX
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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