Individual
MIA SPANN-BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2955 GULF FWY S, LEAGUE CITY, TX 77573-6750
(281) 337-5142
Mailing address
6419 INVERNESS WAY, PASADENA, TX 77505-5409
(832) 339-3110
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
292294
TX
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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