Individual
ANTHONIA ODUSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3706 QUIET PLACE DR, HOUSTON, TX 77082
(713) 449-1133
Mailing address
3706 QUIET PLACE DR, HOUSTON, TX 77082-1219
(713) 449-1133
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212972
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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