Individual
HENRIETTA MBENG-CHANG TATAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
Mailing address
9720 BROADWAY ST APT 317, PEARLAND, TX 77584-8456
(469) 267-0787
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
323330
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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