Individual
GRACE OF GOD INNOCENT-UTULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 FANNIN ST STE 370, HOUSTON, TX 77030-3004
(713) 486-5091
Mailing address
6410 FANNIN ST STE 370, HOUSTON, TX 77030-3004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17540
TX
Other
Enumeration date
07/07/2022
Last updated
02/15/2024
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