Individual
MRS. JUSTINA OBIAMAKA ENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT (AMT)
Contact information
Practice address
2904 CREEKSIDE CT, CARROLLTON, TX 75007-5047
(972) 446-1186
(972) 636-8165
Mailing address
2904 CREEKSIDE CT, CARROLLTON, TX 75007-5047
(972) 446-1186
(972) 636-8165
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
178486
TX
246QB0000X
Blood Banking Specialist/Technologist
178486
TX
246QM0706X
Medical Technologist
Primary
178486
TX
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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