Individual
NATASHA BROOK MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 S CRESCENT ST, GORMAN, TX 76454-3067
(254) 243-0200
Mailing address
207 S CRESCENT ST, GORMAN, TX 76454-3067
(254) 243-0200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328812
TX
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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