FANTA JALABAH

AUSTIN, TX
NPI1972371243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1126205)
Enumeration Date2023-12-18
Last Update Date2023-12-18
Business Address
FANTA JALABAH
2021 GUADALUPE ST STE 260
AUSTIN, TX 78705-5654
Phone number: 646-453-6777
Mailing Address
FANTA JALABAH
4742 LONESTONE CIR
KATY, TX 77449-1540
Phone number:
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