Individual
LOVELY ANEGBODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14723 T C JESTER BLVD APT 1216, HOUSTON, TX 77068-2167
(347) 421-5432
Mailing address
14723 T C JESTER BLVD APT 1216, HOUSTON, TX 77068-2167
(347) 421-5432
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1157503
TX
Other
Enumeration date
03/29/2024
Last updated
07/31/2024
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