Individual
KENA NORENE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMMUNITY HEALTH WOR
Contact information
Practice address
1908 GRANGER ST APT 4, HOUSTON, TX 77020-2419
(183) 223-3808
Mailing address
1908 GRANGER ST APT 4, HOUSTON, TX 77020-2419
(183) 223-3808
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
13146
TX
175T00000X
Peer Specialist
1175-0313
TX
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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