Henry Jituboh

NPI #1164929998 in Wylie, Texas

Provider Information

NPI Number: 1164929998
Entity Type: Individual
Name: Henry Jituboh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Apr 9, 2018
Last Updated: Apr 9, 2018

Practice Location

Address: 3105 EDGEBROOK CT
City: Wylie
State: Texas
ZIP Code: 75098-8511
Phone: (718) 663-1475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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