Individual
ITINA GUIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15011 MONRAD DR, HOUSTON, TX 77053-1344
(832) 276-9238
Mailing address
614 SHADY DALE DR, STAFFORD, TX 77477-5925
(832) 276-9238
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
Primary
—
—
246RM2200X
Medical Laboratory Technician
165268
TX
Other
Enumeration date
09/10/2009
Last updated
09/11/2009
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