Fomukong, Justine

Fomukong, Justine is an sole proprietor health care provider with primary practice located at 2739 Cypress Island Dr , Houston TX 77073-1601. She recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Personal Care Attendant, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Fomukong, Justine can be contacted via phone (281) 780-1226.

Contact Information

Primary practice address
2739 Cypress Island Dr Houston TX 77073-1601
Phone: (281) 780-1226
Fax: (281) 857-6729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 017805 Texas
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 017805 Texas
Agencies / Home Health 251E00000X 017805 Texas

Profile Details

NPI number 1467836676
LBN Legal business name Fomukong, Justine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2015
Last updated Nov 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467836676 NPPES
Texas MEDICAID 367886401

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