Individual
ADA OTUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 MARQUART ST STE 209, HOUSTON, TX 77027-6027
(832) 493-2210
Mailing address
5554 S PEEK RD # 34, KATY, TX 77450-7130
(832) 493-2210
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
178417
TX
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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