Individual
EMUESIRI GBOROGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
8923 SAN BONIFACIO, HOUSTON, TX 77017-5979
(281) 961-9162
Mailing address
8923 SAN BONIFACIO, HOUSTON, TX 77017-5979
(281) 961-9162
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
331368
TX
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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