Individual
COURAGE OSA EHIMWONZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4601 EGRET ST, MESQUITE, TX 75181-4900
(972) 222-4125
(972) 222-4125
Mailing address
4601 EGRET STREET, MESQUITE, TX 75181
(972) 222-4125
(972) 222-4125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
720852
TX
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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