Individual
CALISTA ONUOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 LAKE ST, FORT WORTH, TX 76102-4581
(817) 810-0660
Mailing address
809 SHADY POINT DR APT 41, ARLINGTON, TX 76013-8101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
951731
TX
363LF0000X
Family Nurse Practitioner
Primary
1171232
TX
Other
Enumeration date
04/12/2021
Last updated
11/27/2024
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