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Individual

JENNA ALESSA MARIA MANILAY TABIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-PC

Contact information

Practice address
18200 KATY FWY STE 450, HOUSTON, TX 77094-1285
(832) 227-1420
Mailing address
24211 IVORY SUNSET LN, KATY, TX 77493-3136
(409) 201-9069

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
852602
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1100631
TX

Other

Enumeration date
11/04/2022
Last updated
12/12/2022
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