Individual
FLORENCE MGALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S CUSTER RD APT 1018, MCKINNEY, TX 75070-6257
(304) 276-6534
Mailing address
4101 S CUSTER RD APT 1018, MCKINNEY, TX 75070-6257
(304) 276-6534
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36699
WV
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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