Individual
GODWIN N/A EFERIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
5706 BLACK CANYON CT, SUGAR LAND, TX 77479-8971
(346) 702-1604
Mailing address
5706 BLACK CANYON CT, SUGAR LAND, TX 77479-8971
(346) 702-1604
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227765
TX
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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