Individual
AUGUSTINA OLUCHI OGBONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
407 N CEDAR RIDGE DR STE 325, DUNCANVILLE, TX 75116-3170
(214) 315-3999
Mailing address
407 N CEDAR RIDGE DR STE 325, DUNCANVILLE, TX 75116-3170
(214) 315-3999
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1078108
TX
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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