Individual
MR. JUVAN LAMONT BURTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19722 MESQUITE BRANCH CT, SPRING, TX 77388-5310
(414) 779-7091
Mailing address
19722 MESQUITE BRANCH CT, SPRING, TX 77388-5310
(414) 779-7091
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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