Martin Elive Etta Wose

NPI #1295209708 in Converse, Texas

Provider Information

NPI Number
1295209708
Entity Type
Individual
Name
Martin Elive Etta Wose
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health Aide
Enumeration Date
Jan 17, 2019
Last Updated
Jan 17, 2019

Practice Location

Address
8930 GATHERING PASS
State
Texas
ZIP Code
78109-3492
Phone
(210) 900-7464

Specialties & Taxonomy Codes

Specialty
Home Health Aide

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