Individual
CHIOMA B OGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 CONSTELLATION CT, FORT WORTH, TX 76108-3894
(817) 987-3019
Mailing address
505 CONSTELLATION CT, FORT WORTH, TX 76108-3894
(817) 987-3019
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344960
TX
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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