Individual
LISA MARIE PRADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 NORMANDALE ST, HOUSTON, TX 77029-3953
(832) 466-2775
Mailing address
1718 NORMANDALE ST, HOUSTON, TX 77029-3953
(832) 466-2775
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
TX
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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