IDA CENTINEO

SHENANDOAH, TX
NPI1609410653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26nj01038600)
Enumeration Date2019-11-02
Last Update Date2021-11-05
Business Address
IDA CENTINEO RN
920 MEDICAL PLAZA DR STE 520
SHENANDOAH, TX 77380-3204
Phone number: 832-562-3974
Mailing Address
IDA CENTINEO RN
920 MEDICAL PLAZA DR STE 520
SHENANDOAH, TX 77380-3204
Phone number: 832-562-3974
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