Individual
GRACE IGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9000 BISSONNET ST APT 705, HOUSTON, TX 77074-2430
(832) 885-1549
Mailing address
9000 BISSONNET ST APT 705, HOUSTON, TX 77074-2430
(832) 885-1549
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227469
TX
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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