Individual
OTILIA F EFESOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,
Contact information
Practice address
1517 CAYMUS CT, LEWISVILLE, TX 75067-3254
(972) 219-9624
Mailing address
1517 CAYMUS CT, LEWISVILLE, TX 75067-3254
(972) 219-9624
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
171M00000X
TX
Other
Enumeration date
11/11/2007
Last updated
11/11/2007
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