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Individual

DIAN LY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13918 ELDRIDGE GARDEN CIR, HOUSTON, TX 77083-6586
(832) 633-4385
Mailing address
13918 ELDRIDGE GARDEN CIR, HOUSTON, TX 77083-6586
(832) 633-4385

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
962649
TX

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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