Individual
MARY KHUAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
17750 HIGHWAY 59 N APT 1010, HUMBLE, TX 77396-1489
(619) 928-1082
Mailing address
17750 HIGHWAY 59 N APT 1010, HUMBLE, TX 77396-1489
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07700200
NJ
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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