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Trent Janice

Technician, Attendant Care Provider in Pearland, TX. Individual provider (NPI-1).

NPI number1649014473
StatusActive
Last updated in NPPESJun 25, 2024

Details

NPI
1649014473
Entity type
Individual (NPI-1)
Name
Trent Janice
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2024
Certification date
Jun 25, 2024
Last updated
Jun 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

2305 Megellan Point Ln
Pearland, TX 77584-6702

Phone 832-775-3155

Mailing address

2305 Megellan Point Ln
Pearland, TX 77584-6702

Phone 832-775-3155

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