IndividualActive
Goriola Shotomiwa
NPI 1629314489 · Parenteral & Enteral Nutrition Supplies (DME) · Houston, TX
Provider details
- NPI number
- 1629314489
- Entity type
- Individual
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 36239122 (TX)
Mailing address
6814 Stableton Ln
Houston, TX 77049-2054
Registry dates
- Enumerated
- 2012-12-26
- Last updated
- 2012-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.