Individual
MONA FOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
Mailing address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
886046
TX
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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