Individual
FAASALA THERESA MAUGA-ALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
268 PECAN MEADOW LN, BELTON, TX 76513-8272
(253) 363-1710
Mailing address
268 PECAN MEADOW LN, BELTON, TX 76513-8272
(253) 363-1710
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
691988
TX
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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