SHAWANNA VIDAL BLAZE

HOUSTON, TX
NPI1457671083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  107083)
Enumeration Date2010-06-05
Last Update Date2012-08-07
Business Address
-- SHAWANNA VIDAL BLAZE
2840 SHADOWBRIAR DR #1418
HOUSTON, TX 77077-3268
Phone number: 318-572-0189
Mailing Address
-- SHAWANNA VIDAL BLAZE
2840 SHADOWBRIAR DR #1418
HOUSTON, TX 77077-3268
Phone number: 318-572-0189
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