Individual
MARIJANE SIRIBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
10114 LAZY LAGOON, HOUSTON, TX 77065-3989
(832) 528-5636
Mailing address
10114 LAZY LAGOON, HOUSTON, TX 77065-3989
(832) 528-5636
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/08/2015
Last updated
02/19/2017
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