Individual
GRACE CHIGOZIE OTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1660 KATY GAP RD APT 21106, KATY, TX 77494-7720
(205) 790-3916
Mailing address
8787 WOODWAY DR APT 1107, HOUSTON, TX 77063-2424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85863
TX
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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