Individual
MS. CHRISTINA ETUK KIZZEE
Active
Individual
MS. CHRISTINA ETUK KIZZEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
001007699
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001007700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001007700
—
TX
05
—
001007886
—
TX
05
—
001026121
—
TX
Enumeration date
06/08/2007
Last updated
11/19/2015
Update your record
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