Individual
MR. WENESH M. OBOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
3301 RIDGWAY RD APT B6, PINE BLUFF, AR 71603-7434
(870) 592-0803
(870) 879-9660
Mailing address
3301 RIDGWAY RD APT B6, PINE BLUFF, AR 71603-7434
(870) 592-0803
(870) 879-9660
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R097782
AR
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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