Sidratu Rugie Issa, EAGLES TRACE Valid NPI
Individual provider · Nurse's Aide · Houston, TX
- NPI
- 1922537034
- Type
- Individual (Type 1)
- Primary specialty
- Nurse's Aide
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 376K00000X
- License number
- NA10091344 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-06-12
- Last updated
- 2022-07-21
Practice location
14703 Eagle Vista Dr
Houston, TX 77077-5394
(832) 430-0138