Individual
DIANA GWANANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3610 CLAYTON TRACE TRL, HOUSTON, TX 77082-3134
(832) 858-2887
Mailing address
3610 CLAYTON TRACE TRL, HOUSTON, TX 77082-3134
(832) 858-2887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230765
TX
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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