Individual
IMMACULATA IHENACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4135 ROSALIND LN, HOUSTON, TX 77053-2575
(832) 461-9626
Mailing address
4135 ROSALIND LN, HOUSTON, TX 77053-2575
(832) 461-9626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
962734
TX
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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