Individual
AZIRENO DANIEL TOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10923 DERMOTT RIDGE DR, RICHMOND, TX 77406-5295
(617) 590-2243
Mailing address
10923 DERMOTT RIDGE DR, RICHMOND, TX 77406-5295
(617) 590-2243
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308155
TX
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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