Individual
EDNA C IWUNDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12518 BERRY LAUREL LN, HOUSTON, TX 77014-2445
(832) 633-8139
(281) 440-6867
Mailing address
12518 BERRY LAUREL LN, HOUSTON, TX 77014-2445
(832) 633-8139
(281) 440-6867
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320493326
IRS
TX
Enumeration date
10/29/2012
Last updated
10/29/2012
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