Individual
MONCELLA BURCH OBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E MID CITIES BLVD APT 1404, EULESS, TX 76039-4667
(972) 513-5273
Mailing address
750 E MID CITIES BLVD APT 1404, EULESS, TX 76039-4667
(972) 513-5273
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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