Individual
JANET OMBASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3057 HERITAGE CIR, ABILENE, TX 79606-3314
(817) 404-6120
Mailing address
3057 HERITAGE CIR, ABILENE, TX 79606-3314
(817) 404-6120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341449
TX
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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