Individual
AGNES EBANGHA NJANG AYOKOSOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 GEORGE DIETER DR FL 2, EL PASO, TX 79936-7651
(915) 996-9363
Mailing address
11620 PELLICANO DR, EL PASO, TX 79936
(915) 996-9363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
848690
TX
363LF0000X
Family Nurse Practitioner
Primary
AP143121
TX
Other
Enumeration date
09/25/2019
Last updated
10/22/2019
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