Individual
IRENE EJIANREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3239 VIEW VALLEY TRL, KATY, TX 77493-4420
(856) 366-4406
Mailing address
3239 VIEW VALLEY TRL, KATY, TX 77493-4420
(856) 366-4406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
876248
TX
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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