Individual
KIMBERLEY NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11111A BELLAIRE BLVD, HOUSTON, TX 77072-2607
(713) 557-8989
Mailing address
11111A BELLAIRE BLVD, HOUSTON, TX 77072-2607
(713) 557-8989
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
08/09/2024
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