Individual
KEVIN ONSOMU MAANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5050 TANGLEWOOD LN APT 1705, ODESSA, TX 79762-4807
(817) 903-7470
Mailing address
5050 TANGLEWOOD LN APT 1705, ODESSA, TX 79762-4807
(817) 903-7470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
937454
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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