Individual
EMMANUEL OTI-NKRUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2936 CELIAN DR, GRAND PRAIRIE, TX 75052-8737
(817) 713-8427
Mailing address
2936 CELIAN DR, GRAND PRAIRIE, TX 75052-8737
(817) 713-8427
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
12-232
TX
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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