Individual
CLARISSA ANNE DOSAMANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8617 WILEY WAY, AUSTIN, TX 78747
(512) 781-0640
Mailing address
8617 WILEY WAY, AUSTIN, TX 78747
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
159240
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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