Individual
JOHNNY NWAOGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3362 FOREST LN, 304, DALLAS, TX 75234-7796
(214) 900-2325
Mailing address
844 KINWEST PKWY, 225, IRVING, TX 75063-7408
(214) 900-2325
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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