Individual
JOFONZ GOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3909 W AIRPORT FWY STE 40, IRVING, TX 75062-5905
(214) 995-6720
Mailing address
2650 S FORUM DR APT 18203, GRAND PRAIRIE, TX 75052-7049
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
635156
TX
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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