Individual
CORDELIA MUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9903 DIEGO SPRINGS DR, TOMBALL, TX 77375-8715
(281) 717-0086
Mailing address
9903 DIEGO SPRINGS DR # L, TOMBALL, TX 77375-8715
(281) 717-0086
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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