Individual
MARQUITA MOURNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22303 TREE HOUSE LN, SPRING, TX 77373-8801
(318) 458-7464
Mailing address
22303 TREE HOUSE LN, SPRING, TX 77373-8801
(318) 458-7464
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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