Individual
ESTHER NGOZI UGBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9959 ADLETA BLVD APT 108, DALLAS, TX 75243-8144
(956) 624-3175
Mailing address
9959 ADLETA BLVD APT 108, DALLAS, TX 75243-8144
(956) 624-3175
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/26/2018
Last updated
04/03/2020
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