Individual
LEAKEY OTIENO ONDIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8127 DOLLAR LN, FORT WORTH, TX 76126-5314
(817) 313-8667
Mailing address
3872 EVERGREEN ST APT 128, IRVING, TX 75061-3984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
828442
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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