Individual
EDWIN CHIOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 GARDENIA ST, DESOTO, TX 75115
(214) 640-0514
Mailing address
608 GARDENIA ST, DESOTO, TX 75115
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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