Individual
MR. KOFI WISDOM SEMAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
101 E GLADE RD APT 11303, GRAPEVINE, TX 76051-7437
(405) 520-5751
Mailing address
101 E GLADE RD APT 11303, GRAPEVINE, TX 76051-7437
(405) 520-5751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
863039
TX
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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