Individual
DIVINE AJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7555 MEDICAL CENTER DR APT 10106, TEXAS CITY, TX 77591-2595
(832) 752-6892
Mailing address
7555 MEDICAL CENTER DR APT 10106, TEXAS CITY, TX 77591-2595
(832) 752-6892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
785510
TX
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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