Individual
BERNICE MOMBEFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13838 PURPLEMARTIN ST, HOUSTON, TX 77083-6866
(469) 777-2149
(713) 999-9131
Mailing address
13838 PURPLEMARTIN ST, HOUSTON, TX 77083-6866
(469) 777-2149
(713) 999-9131
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324630
TX
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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