Individual
DINAH AWUOR OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 E LOVERS LN, DALLAS, TX 75206-2902
(214) 278-6378
Mailing address
10309 RED ELM RD, DALLAS, TX 75243-5130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
221787
TX
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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