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Individual

MRS. LILIANA C. MANZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.S.A.

Contact information

Practice address
2718 DURHAM CHASE LANE, KATY, TX 77449-4739
(281) 829-5417
(713) 627-1217
Mailing address
2718 DURHAM CHASE LANE, KATY, TX 77449-4739
(832) 392-1747

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00301
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8Y2286
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/16/2007
Last updated
11/22/2017
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