Individual
LUCIA M HISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
5143 BEECHNUT ST, HOUSTON, TX 77096-1422
(713) 432-7419
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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