Georgina Idjagboro
Licensed Vocational Nurse in Richmond, TX. Individual provider (NPI-1).
NPI number1215565254
StatusActive
Last updated in NPPESMar 27, 2020
Details
- NPI
- 1215565254
- Entity type
- Individual (NPI-1)
- Name
- Georgina Idjagboro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- Mar 27, 2020
- Last updated
- Mar 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 350268 | TX | Yes |
Practice location
19400 W Bellfort St Apt 5304Richmond, TX 77407-8215
Phone 713-922-2746
Mailing address
1155 Dairy Ashford Rd Ste 560Houston, TX 77079-3035
Phone 713-799-2200
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