Individual
EMMANUEL EMENIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
4901 KINSEY DR APT 1523, TYLER, TX 75703-3031
(662) 616-5208
Mailing address
4901 KINSEY DR APT 1523, TYLER, TX 75703-3031
(662) 616-5208
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
318559
TX
Other
Enumeration date
02/20/2018
Last updated
06/16/2018
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