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Individual
MRS. PORTIA MBAH
Active
Individual
MRS. PORTIA MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1005797
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
12/24/2008
Last updated
04/22/2022
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