NPI 1396255683

Kojo Anebo, ADMINISTRATOR

Practitioner Religious Nonmedical Nursing Personnel Desoto, TX

Practice location

Address: 1723 Carriage Creek Dr, Desoto, TX 75115-3675
Phone: (214) 875-6961
Fax: (972) 780-5579

Registered specialties

Religious Nonmedical Nursing Personnel Primary

Nursing Service Related Providers Taxonomy 374T00000X

Other Religious Nonmedical Nursing Personnel providers in Texas →

Registry record

NPI: 1396255683
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2017
Record last updated: 2 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.