Individual
IVIE EDOSOMWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14090 SOUTHWEST FWY STE 300, SUGAR LAND, TX 77478-3679
(832) 495-1488
Mailing address
14090 SOUTHWEST FWY STE 300, SUGAR LAND, TX 77478-3679
(832) 495-1488
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1154270
TX
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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