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Individual

DEMETRIC ANTWON COLSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6928 LANDOR ST, HOUSTON, TX 77028-3044
(346) 757-7884
Mailing address
6928 LANDOR ST, HOUSTON, TX 77028-3044

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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