Individual
PRINCE EDIDIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3719 FOREST RIVER DR, ROSENBERG, TX 77469-3944
(713) 487-7526
Mailing address
3719 FOREST RIVER DR, ROSENBERG, TX 77469-3944
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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