Individual
ISAAC ERHIGA OTITIGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
190 ASHWOOD CIR, PLANO, TX 75075-8951
(214) 779-5258
Mailing address
190 ASHWOOD CIR, PLANO, TX 75075-8951
(214) 779-5258
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220528
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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