Individual
DOROTHY NGOZI IHEANACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 RIVERSTONE BLVD, MISSOURI CITY, TX 77459-5204
(281) 903-7613
Mailing address
7127 TIMBER MOSS LN, RICHMOND, TX 77469-4116
(832) 689-2030
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
193290
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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