Individual
ETIOSA EMMANUEL OSASERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9000 E NICHOLS AVE STE 104, CENTENNIAL, CO 80112-3429
(844) 274-6849
Mailing address
2500 WOODPARK DRIVE, N102, HOUSTON, TX 77077
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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