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Individual

MISS CALECHE NJWENG BONGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSC, LVN

Contact information

Practice address
51 S RAMBLING RIDGE PL, THE WOODLANDS, TX 77385-3535
(240) 425-2240
Mailing address
51 S RAMBLING RIDGE PL, THE WOODLANDS, TX 77385-3535
(240) 425-2240

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
309778
TX

Other

Enumeration date
02/23/2013
Last updated
02/23/2013
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