MEDICARE: MRS. ETHEL MMARRAH EYONG-AKO MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1245787225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ETHEL MMARRAH EYONG-AKO MBA

Provider Business Mailing Address
First Line	:	7819 WINDING CREEK VW
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5658
Country	:	US
Telephone Number	:	713-387-9689
Fax Number	:

Provider Business Practice Location Address
First Line	:	7819 WINDING CREEK VW
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5658
Country	:	US
Telephone Number	:	713-387-9689
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2016
Last Update Date	:	09/05/2019

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