Individual
EFOSA DESTINY OGBEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3718 AUTUMNCREST ST, MIDLOTHIAN, TX 76065-7171
(417) 450-9849
Mailing address
3718 AUTUMNCREST ST, MIDLOTHIAN, TX 76065-7171
(417) 450-9849
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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