NPI 1023583028

Lenisha Justina Wedlaw

Practitioner Private Vehicle Houston, TX

Practice location

Address: 12338 Millbanks Dr, Houston, TX 77031-3215
Phone: (832) 613-1613

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 11598762 (TX)

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Registry record

NPI: 1023583028
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2018
Record last updated: 6 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.