Individual
MRS. HANNAH O. AMAEFULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 WINFORD DRIVE, GRAND PRAIRIE, TX 75052
(817) 715-2603
Mailing address
2416 WINFORD DRIVE, GRAND PRAIRIE, TX 75052
(817) 715-2603
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
30883
TX
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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