Individual
MELINA LAUREANNE IDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8519 VISTA WOODS DR, HOUSTON, TX 77028-1467
(832) 267-1488
Mailing address
8519 VISTA WOODS DR, HOUSTON, TX 77028-1467
(832) 267-1488
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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