Provider Demographics
NPI:1336622398
Name:ARHEWOH, JULIET AMUNEGBE
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:AMUNEGBE
Last Name:ARHEWOH
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 1:301 MATLOCK MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3351
Mailing Address - Country:US
Mailing Address - Phone:973-517-2435
Mailing Address - Fax:
Practice Address - Street 1:301 MATLOCK MEADOW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3351
Practice Address - Country:US
Practice Address - Phone:973-517-2435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344315164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse