Individual
MARY AIFEKELU ATIVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8226 MISSION ESTATES DR, HOUSTON, TX 77083-5376
(713) 962-1824
(832) 532-7301
Mailing address
8226 MISSION ESTATES DR, HOUSTON, TX 77083-5376
(713) 962-1824
(832) 532-7301
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
714556
TX
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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