Individual
GERARD NYUNWU KIFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21523 SAPPHIRE CT, KATY, TX 77449-8177
(832) 566-3105
Mailing address
21523 SAPPHIRE CT, KATY, TX 77449-8177
(832) 566-3105
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
348154
TX
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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