Individual
LEONIDAH SANDIMU OMBONGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3637 US HIGHWAY 259 N APT 314, LONGVIEW, TX 75605-7775
(214) 429-5722
Mailing address
3637 US HIGHWAY 259 N APT 314, LONGVIEW, TX 75605-7775
(214) 429-5722
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329454
TX
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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