Individual
SAMUEL OTABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32035 BRILLIANT SUN CT, FULSHEAR, TX 77441-2634
(347) 859-0266
Mailing address
32035 BRILLIANT SUN CT, FULSHEAR, TX 77441-2634
(347) 859-0266
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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