Individual
FATMATA PORREH BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16710 CHESHIRE PLACE DR, HOUSTON, TX 77083-5210
(832) 306-0547
Mailing address
16710 CHESHIRE PLACE DR, HOUSTON, TX 77083-5210
(832) 306-0547
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
331890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331890
LICENSED VOCATIONAL NURSE
TX
Enumeration date
08/30/2018
Last updated
08/30/2018
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