Provider Demographics
NPI:1063718070
Name:AWOTONA, MARION ANNETTE
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:ANNETTE
Last Name:AWOTONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4935 W OREM DR STE 2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4162
Mailing Address - Country:US
Mailing Address - Phone:832-343-9480
Mailing Address - Fax:
Practice Address - Street 1:4935 W OREM DR STE 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4162
Practice Address - Country:US
Practice Address - Phone:832-343-9480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care