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ISAAC CHUKWUMA OHALETE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2104 RINCON DR, LEAGUE CITY, TX 77573
(281) 455-2242
Mailing address
2104 RINCON DR, LEAGUE CITY, TX 77573-1569
(281) 455-2242

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/30/2012
Last updated
01/15/2024
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