Individual
UZOAKU KELICHA EBIUWHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7008 MOZART, COLLEYVILLE, TX 76034-1489
(214) 436-9453
Mailing address
7008 MOZART, COLLEYVILLE, TX 76034-1489
(214) 436-9453
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
LKT2176
TX
347C00000X
Private Vehicle
PYH5014
TX
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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