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Individual

TRISHA MAE HERNANDEZ LLESIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23423 HIGHWAY 59 N APT 2604, KINGWOOD, TX 77339-1557
(346) 404-4457
Mailing address
23423 HIGHWAY 59 N APT 2604, KINGWOOD, TX 77339-1557
(346) 404-4457

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217734
TX

Other

Enumeration date
01/13/2023
Last updated
01/13/2023
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