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Individual

SHANI RENEE DANIELS VAN PATTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM

Contact information

Practice address
1707 FM 1960 BYPASS RD E STE D, HUMBLE, TX 77338-3955
(832) 558-4893
Mailing address
26819 TWILIGHT GROVE LN, CYPRESS, TX 77433-1627
(832) 928-1869

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
0
TX
Enumeration date
01/15/2021
Last updated
01/15/2021
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