Individual
OMONOH EHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 542411, GRAND PRAIRIE, TX 75054-2411
(817) 476-0721
Mailing address
PO BOX 542411, GRAND PRAIRIE, TX 75054-2411
(817) 476-0721
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
12/27/2024
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