Individual
BEAUTY UZOMA ACHONYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11024 CAIRNHILL CT, AUSTIN, TX 78754-2162
(512) 822-2623
Mailing address
11024 CAIRNHILL CT, AUSTIN, TX 78754-2162
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
315288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25498309
DRIVERS LICENSE
TX
Enumeration date
09/10/2018
Last updated
09/10/2018
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