Individual
CELINE OMEZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11611 FERGUSON RD APT 1421, DALLAS, TX 75228-7636
(469) 261-3736
Mailing address
11611 FERGUSON RD APT 1421, DALLAS, TX 75228-7636
(469) 261-3736
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
227900
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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