Individual
BAPI MIRABEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNBSN
Contact information
Practice address
171 CORLEY CIR, WAKE VILLAGE, TX 75501-5862
(240) 618-7785
Mailing address
171 CORLEY CIR, WAKE VILLAGE, TX 75501-5862
(240) 618-7785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
831572
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
About Stedi
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