Individual
FATMATA MUANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22815 W WATERLAKE DR, RICHMOND, TX 77406-7672
(832) 679-0334
Mailing address
22815 W WATERLAKE DR, RICHMOND, TX 77406-7672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
732888
TX
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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