Individual
VIVIEN ANWULI IJOMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1590 MAHOGANY DR, ALLEN, TX 75002-0946
(469) 879-2707
Mailing address
1590 MAHOGANY DR, ALLEN, TX 75002-0946
(469) 879-2707
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
731760
TX
163WH0200X
Home Health Registered Nurse
Primary
731760
TX
Other
Enumeration date
09/05/2015
Last updated
09/05/2015
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