Individual
DANIELLE DEGOLLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 SUNSHINE DR, SUGAR LAND, TX 77479-2059
(832) 302-5609
Mailing address
4635 SUNSHINE DR, SUGAR LAND, TX 77479-2059
(832) 302-5609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
863739
TX
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/14/2023
Last updated
02/16/2023
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