Individual
MARISOL SEGUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 MYSTIC BND, BROWNSVILLE, TX 78526-3835
(956) 639-4856
Mailing address
5606 MYSTIC BND, BROWNSVILLE, TX 78526-3835
(956) 639-4856
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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