Individual
MR. JOHN EZIEVUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1522 MAMMOTH SPRINGS LN, RICHMOND, TX 77469-5654
(713) 480-4617
Mailing address
1522 MAMMOTH SPRINGS LN, RICHMOND, TX 77469-5654
(713) 480-4617
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
10/25/2018
Last updated
11/02/2018
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