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Individual

EKIKERE E BRAZLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4502 RIVERSTONE BLVD STE 905, MISSOURI CITY, TX 77459-5206
(281) 903-7613
Mailing address
6402 HAYWARDS CROSSING SOUTH CIR, KATY, TX 77494-2658
(713) 530-3425

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211711
TX

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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