Individual
MR. ADONIJAH D WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 LEGACY DR, STE 330, PLANO, TX 75024
(281) 768-6730
Mailing address
1616 STERNS DR, LEESBURG, FL 34748-2018
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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