Individual
UFOMA OMOHEFE UDEZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2955 ALOUETTE DR APT 712, GRAND PRAIRIE, TX 75052-8171
(404) 916-2625
Mailing address
2955 ALOUETTE DR APT 712, GRAND PRAIRIE, TX 75052-8171
(404) 916-2625
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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