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Individual

CHITOM PEARL AZUBIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11403 OAK LAKE POINT DR, SUGAR LAND, TX 77498-7001
(832) 326-5251
Mailing address
11403 OAK LAKE POINT DR, SUGAR LAND, TX 77498-7001
(832) 326-5251

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
1117939
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1117939
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1117939
TX

Other

Enumeration date
09/20/2023
Last updated
09/20/2023
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