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Individual

NITTA OGU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3631 JOHN HANCOCK LANE, MISSOURI CITY, TX 77459
(281) 384-8731
Mailing address
3631 JOHN HANCOCK LANE, MISSOURI CITY, TX 77459

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP136063
TX
363LG0600X
Gerontology Nurse Practitioner
AP136063
TX

Other

Enumeration date
01/26/2018
Last updated
01/26/2018
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