Individual
MANLI INDAH NGENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7935 PIPERS CREEK ST APT 214, SAN ANTONIO, TX 78251-2472
(512) 552-0766
Mailing address
7935 PIPERS CREEK ST APT 214, SAN ANTONIO, TX 78251-2472
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
912021
TX
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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