Individual
PUI MAN MONA MONA IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 719-1414
Mailing address
24910 HAZEL RANCH DR, KATY, TX 77494-5266
(832) 228-1899
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80960
TX
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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