Individual
EBELE S ODAFI-KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4502 RIVERSTONE BLVD, MISSOURI CITY, TX 77459-5204
(832) 987-1405
Mailing address
20907 BRIGHT LAKE BEND CT, RICHMOND, TX 77407-4491
(832) 461-3938
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
314552
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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