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Individual

MELVINE C MAGOYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RCP

Contact information

Practice address
3103 CREEK ABOR CIR, HOUSTON, TX 77084
(713) 366-2189
Mailing address
3103 CREEK ABOR CIR, HOUSTON, TX 77084
(713) 366-2189

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
RCP00072942
TX

Other

Enumeration date
05/01/2017
Last updated
05/01/2017
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