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Individual

CARLA J ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1716 BALSAM SPRUCE CIR, CONROE, TX 77301-3800
(936) 522-7561
Mailing address
1716 BALSAM SPRUCE CIR, CONROE, TX 77301-3800
(936) 522-7561

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
TX
376J00000X
Homemaker
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08057453
DRIVER'S LICENSE
TX
Enumeration date
07/25/2022
Last updated
07/25/2022
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