Individual
ANELECHI OTTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 GUS THOMASSON RD, MESQUITE, TX 75150-4057
(972) 254-7272
Mailing address
2861 INGRAM CIR, MESQUITE, TX 75181-4425
(214) 542-9125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139732
TX
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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