Individual
MRS. ALICE MBUH FOMUNYOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, NP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(713) 249-9179
Mailing address
7923 CHANCEL DR, HOUSTON, TX 77071-3235
(832) 264-8255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127633
TX
Other
Enumeration date
01/06/2009
Last updated
07/21/2020
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