GEORGINA ITA

STAFFORD, TX
NPI1477262772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1097436)
Enumeration Date2022-11-16
Last Update Date2022-11-16
Business Address
GEORGINA ITA
10701 CORPORATE DR STE 340-105
STAFFORD, TX 77477-4096
Phone number: 281-903-0171
Mailing Address
GEORGINA ITA
10701 CORPORATE DR STE 340-105
STAFFORD, TX 77477-4096
Phone number: 281-903-0171
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