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Individual
SAMUEL UDOFIA
Active
Individual
SAMUEL UDOFIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
907467
TX
163WG0000X
General Practice Registered Nurse
907467
TX
163WH0200X
Home Health Registered Nurse
907467
TX
163WM0705X
Medical-Surgical Registered Nurse
Primary
907467
TX
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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