DEMETRIC ANTWON COLSTON

HOUSTON, TX
NPI1659922094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Additional Taxonomies376K00000X Nurse's Aide
Enumeration Date2019-09-26
Last Update Date2019-09-26
Business Address
DEMETRIC ANTWON COLSTON
6928 LANDOR ST
HOUSTON, TX 77028-3044
Phone number: 346-757-7884
Mailing Address
DEMETRIC ANTWON COLSTON
6928 LANDOR ST
HOUSTON, TX 77028-3044
Phone number: