| NPI | 1104624345 |
|---|---|
| Former Legal Business Name | CLINICA GLORIA DE AMERICAIII |
| Entity Type | Organization |
| Authorized Contact | AYMEE JULIOTTI Manager 832-323-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |