Individual
FAITH IDIEGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 RIVERSTONE BLVD, MISSOURI CITY, TX 77459
(281) 903-7613
Mailing address
6403 SIERRA BLANCA DR #1814, HOUSTON, TX 77083
(713) 517-4284
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337081
TX
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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