Individual
ATHENA NWOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 NORCROSS DR, MESQUITE, TX 75149-8636
(214) 466-0864
Mailing address
2028 NORCROSS DR, MESQUITE, TX 75149-8636
(214) 466-0864
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
344665
TX
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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