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Individual

DAMIAN SUNDAY NGODO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
UNM HEALTH SYSTEM 1 UNIVERSITY OF NM, ALBUQUERQUE, NM 87131-2178
(713) 820-8515
Mailing address
12519 MAGNOLIA CYN, HOUSTON, TX 77099-6411
(713) 820-8515

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
204999
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
56993
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP139601
TX

Other

Enumeration date
03/25/2019
Last updated
09/25/2023
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