Individual
ITOHAN OVBIEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 HILLCREST ST APT 2222, MESQUITE, TX 75149-2178
(469) 587-4033
Mailing address
1205 HILLCREST ST APT 2222, MESQUITE, TX 75149-2178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
986085
TX
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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