Individual
ANDY ONONIWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1228 SULLIVAN DR, CEDAR HILL, TX 75104-7340
(682) 365-5693
Mailing address
1228 SULLIVAN DR, CEDAR HILL, TX 75104-7340
(682) 365-5693
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
193560
TX
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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