Individual
GWEN MUSOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 H G MOSLEY PKWY, LONGVIEW, TX 75604-4478
(936) 229-7927
Mailing address
1421 H G MOSLEY PKWY, LONGVIEW, TX 75604-4478
(936) 229-7927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
824190
TX
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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