Individual
GEORGINA KUFORIJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7531 BRACKSTONE CT, RICHMOND, TX 77407-5783
(210) 639-1430
Mailing address
7531 BRACKSTONE CT, RICHMOND, TX 77407-5783
(210) 639-1430
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494501595
—
TX
Enumeration date
06/27/2020
Last updated
06/27/2020
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