Individual
KENNETH NSOFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4914 WIDEROP LN, FRIENDSWOOD, TX 77546-3181
(832) 704-2582
Mailing address
4914 WIDEROP LN, FRIENDSWOOD, TX 77546-3181
(832) 704-2582
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
109646
TX
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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