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Chanel M Deleon

Technician in Katy, TX. Individual provider (NPI-1).

NPI number1255014643
StatusActive
Last updated in NPPESAug 10, 2023

Details

NPI
1255014643
Entity type
Individual (NPI-1)
Name
Chanel M Deleon
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2023
Certification date
Aug 10, 2023
Last updated
Aug 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician–TXYes

Practice location

24124 Cinco Village Center Blvd Ste 200
Katy, TX 77494-8389

Phone 760-906-1304

Mailing address

24124 Cinco Village Center Blvd Ste 200
Katy, TX 77494-8389

Phone 760-906-1304

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