Individual
AGHA FONGOH MAYAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LNN
Contact information
Practice address
2818 STONEY WOOD DR, HOUSTON, TX 77082-2040
(346) 400-8202
Mailing address
2818 STONEY WOOD DR, HOUSTON, TX 77082-2040
(346) 400-8202
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342277
TX
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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