John Ezievuo
Technician, Personal Care Attendant in Richmond, TX. Individual provider (NPI-1).
NPI number1144797309
StatusActive
Last updated in NPPESNov 2, 2018
Details
- NPI
- 1144797309
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Ezievuo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2018
- Last updated
- Nov 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | TX | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – |
Practice location
1522 Mammoth Springs LnRichmond, TX 77469-5654
Phone 713-480-4617
Mailing address
1522 Mammoth Springs LnRichmond, TX 77469-5654
Phone 713-480-4617
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