ESONGNYUO FOMUKONG-ETTA

IRVING, TX
NPI1255886909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  AP131427)
Enumeration Date2016-08-23
Last Update Date2020-03-10
Business Address
ESONGNYUO FOMUKONG-ETTA NP
3050 REGENT BLVD STE 100
IRVING, TX 75063-3107
Phone number: 214-689-8076
Mailing Address
ESONGNYUO FOMUKONG-ETTA NP
PO BOX 9755
HOUSTON, TX 77213-0755
Phone number: 832-717-2780
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