Individual
ELIAS MUTAMBIKWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9304 FOREST LN STE S213, DALLAS, TX 75243-6238
(214) 641-0251
Mailing address
9304 FOREST LN STE S213, DALLAS, TX 75243-6238
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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