Individual
MR. OSAMWONYI MICHAEL OSAGIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 GARLAND DR APT 260, LAKE JACKSON, TX 77566-6248
(832) 709-9852
Mailing address
415 GARLAND DR APT 260, LAKE JACKSON, TX 77566-6293
(832) 709-9852
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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