Individual
MARIA FERNANDA TISTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 N EXPRESSWAY, BROWNSVILLE, TX 78521-1556
(956) 955-1008
Mailing address
1900 N EXPRESSWAY STE K, BROWNSVILLE, TX 78521-1563
(956) 541-2102
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42225
TX
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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