Individual
JOB NYANGENYA OMANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2224 N CARROLL BLVD, DENTON, TX 76201-1834
(432) 517-5374
Mailing address
123 HERITAGE LN APT 103, DENTON, TX 76209-1902
(432) 517-5374
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311609
TEXAS BOARD OF NURSING
TX
Enumeration date
02/28/2018
Last updated
02/28/2018
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