Individual
MRS. JEMIMAH DOMA OMAVUEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
720 GOLDER AVE, ODESSA, TX 79761-4442
(432) 337-3117
(432) 640-2868
Mailing address
720 GOLDER AVE, ODESSA, TX 79761-4442
(432) 337-3117
(432) 640-2868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17249
TX
Other
Enumeration date
10/27/2022
Last updated
10/18/2023
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