Botomani-Mposi, Maya Miko
Botomani-Mposi, Maya Miko is an sole proprietor health care provider with primary practice located at 7560 Waterpoint St , Grand Prairie TX 75054-0170. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Botomani-Mposi, Maya Miko can be contacted via phone (817) 917-0516.Contact Information
Primary practice address
7560 Waterpoint St
Grand Prairie TX 75054-0170
Phone: (817) 917-0516
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1558094029 |
|---|---|
| LBN Legal business name | Botomani-Mposi, Maya Miko |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2022 |
| Last updated | Jul 2nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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