Individual
EMELDA OLISAEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
941 YORK DR, DESOTO, TX 75115-2065
(972) 283-6286
Mailing address
3100 KIRBY LANE, CRANDALL, TX 75126
(972) 513-6044
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1100162
TX
Other
Enumeration date
12/08/2022
Last updated
03/23/2023
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