Individual
JULIET USIFOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 PIGEON HAWK DR, LITTLE ELM, TX 75068-8589
(918) 853-1976
Mailing address
1112 PIGEON HAWK DR, LITTLE ELM, TX 75068-8589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
974912
TX
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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