Individual
CHARMAINE MARY SULAICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
(830) 374-2301
(830) 374-9368
Mailing address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
(317) 266-2901
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
71007931A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
AP128590
TX
Other
Enumeration date
08/12/2015
Last updated
06/24/2025
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