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NPI Code Detail

MEDICARE: JUDITH ONYANGO

MEDICARE: JUDITH ONYANGO
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
1183500000XPharmacist54855TX

General Provider Information

NPI Number : 1629485123
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH ONYANGO
Provider Business Mailing Address
First Line : 12390 EDGEMERE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-4464
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12390 EDGEMERE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-4464
Country : US
Telephone Number : 915-849-6849
Fax Number : 915-849-6764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2014
Last Update Date : 07/16/2014

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Directions to “ JUDITH ONYANGO ” Practice Location

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