Individual
MARIANA D MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 DRAVA LN, HOUSTON, TX 77090-1264
(832) 640-3090
Mailing address
1110 DRAVA LN, HOUSTON, TX 77090-1264
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
98566
TX
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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