Individual
MRS. HANNAH MARIE OMONZOGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9440 STRATTON DR APT 4107, FRISCO, TX 75035-5337
(469) 748-6266
Mailing address
9440 STRATTON DR APT 4107, FRISCO, TX 75035-5337
(469) 748-6266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
709346
CA
164X00000X
Licensed Vocational Nurse
Primary
353141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NONE
TX
Enumeration date
09/29/2021
Last updated
09/29/2021
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