Individual
FAITH EZINNEAMAKA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 WILCREST DR, HOUSTON, TX 77042-2761
(713) 666-8287
Mailing address
3101 VISTA DR APT 2210, ROSENBERG, TX 77471-2379
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
934570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
770646160
—
TX
Enumeration date
11/19/2019
Last updated
11/19/2019
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