Individual
LOIS ALETHEA JIBOYEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3622 WILD BERRY CT, KATY, TX 77449-6150
(832) 270-2985
(832) 519-9592
Mailing address
3622 WILD BERRY CT, KATY, TX 77449-6150
(832) 891-0705
(832) 519-9592
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747P1801X
TAXONOMY CODE
TX
Enumeration date
12/28/2017
Last updated
12/28/2017
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