Innocent Ken Ike Valid NPI
Individual provider · Community Health Worker · Sugar Land, TX
- NPI
- 1447549407
- Type
- Individual (Type 1)
- Primary specialty
- Community Health Worker
- Specialty group
- Other Service Providers
- Taxonomy code
- 172V00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-03-30
- Last updated
- 2013-12-19
Practice location
63 Rivercoach Ln
Sugar Land, TX 77479-5545
(832) 359-7755