Individual
DEATRA DELCAMBRE JOSIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-2122
(409) 772-2222
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265-2594
(409) 772-0620
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1045777
TX
Other
Enumeration date
06/25/2021
Last updated
04/05/2022
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