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Organization
LIGHTHEARTED CARE AND WELLNESS LLC
Active
Organization
LIGHTHEARTED CARE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIAGELI DUROUSSEAU (FNP- BC)
(337) 532-1615
Entity
Organization
Contact information
Practice address
23 SAN SIMEON DR, MANVEL, TX 77578-3286
(337) 532-1615
Mailing address
23 SAN SIMEON DR, MANVEL, TX 77578-3286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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