Individual
MAYOWA MARY OTUADA
Active
Individual
MAYOWA MARY OTUADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1174310
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1114753
TX
Other
Enumeration date
03/16/2021
Last updated
06/28/2023
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