Individual
JAMES OGHENOVO OTOMEWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5190
(317) 880-9100
Mailing address
10961 MINUTEMAN CT, INDIANAPOLIS, IN 46234-9770
(317) 728-5736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28228345A
IN
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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