NICODEMUS WUANTAI NAIMODU

LUBBOCK, TX
NPI1669090619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  1001356)
Enumeration Date2020-07-07
Last Update Date2020-07-07
Business Address
Mr. NICODEMUS WUANTAI NAIMODU RN
3708 20TH ST STE A
LUBBOCK, TX 79410-1228
Phone number: 806-744-8999
Mailing Address
Mr. NICODEMUS WUANTAI NAIMODU RN
5016 HANOVER ST
LUBBOCK, TX 79416-1235
Phone number: 806-782-9177