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NPI Code Detail

MEDICARE: VICTORIA O EWANSIHA

MEDICARE: VICTORIA O EWANSIHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse314953TX

General Provider Information

NPI Number : 1457835597
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA O EWANSIHA
Provider Business Mailing Address
First Line : 21634 BOWCREEK LN
Second Line :
City : KATY
State : TX
Zip : 77449-8146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21634 BOWCREEK LN
Second Line :
City : KATY
State : TX
Zip : 77449-8146
Country : US
Telephone Number : 832-704-2303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2018
Last Update Date : 09/24/2018

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Directions to “ VICTORIA O EWANSIHA ” Practice Location

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