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1669250320
YLAIZZA MICAH DIEZ CANIZARES
BAYTOWN, TX
NPI
1669250320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1136059)
Enumeration Date
2023-09-14
Last Update Date
2023-09-14
Business Address
YLAIZZA MICAH DIEZ CANIZARES
4401 GARTH RD
BAYTOWN, TX 77521-2122
Phone number: 281-420-8600
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Mailing Address
YLAIZZA MICAH DIEZ CANIZARES
5607 CARAWAY LAKE DR
BAYTOWN, TX 77521-7525
Phone number:
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