Individual
JAIZA DELA CRUZ VANEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13414 RAVENS PARK LN, PEARLAND, TX 77584
(832) 332-5812
Mailing address
13414 RAVENS PARK LN, PEARLAND, TX 77584-4061
(832) 332-5812
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP137025
TX
Other
Enumeration date
03/22/2018
Last updated
08/28/2018
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