Individual
MRS. CHIDIMMA I NGUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7201
(214) 645-4673
(972) 669-7194
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-4673
(972) 669-7194
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP127629
TX
363LA2200X
Adult Health Nurse Practitioner
F305110
NY
363LG0600X
Gerontology Nurse Practitioner
F340722-1
NY
Other
Enumeration date
10/15/2009
Last updated
05/19/2015
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