Individual
SIDRATU RUGIE ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EAGLES TRACE
Contact information
Practice address
14703 EAGLE VISTA DR, HOUSTON, TX 77077-5394
(832) 430-0138
Mailing address
14703 EAGLE VISTA DR, HOUSTON, TX 77077-5394
(832) 430-0138
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA10091344
TX
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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