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Individual

AGNES J MAWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2424 WILCREST DR STE 110, HOUSTON, TX 77042-2772
(136) 667-8287
Mailing address
18327 SURREY LAKE LN, RICHMOND, TX 77407-5022
(407) 745-7623

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
877945
TX
163WP0200X
Pediatric Registered Nurse
Primary
877945
TX

Other

Enumeration date
03/16/2021
Last updated
03/16/2021
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