Individual
KEVIN AMAEFULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3405 WOODSIDE DR, ARLINGTON, TX 76016-2364
(817) 451-4336
(817) 451-4338
Mailing address
3405 WOODSIDE DR, ARLINGTON, TX 76016-2364
(817) 451-4336
(817) 451-4338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
139623
TX
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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