Individual
HORTENSE NGO BASSOUGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229-4428
(210) 731-9570
Mailing address
108 PINTO PL, CIBOLO, TX 78108-3768
(239) 227-1130
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353468
TX
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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