Individual
IHUOMA NWACHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
341 CRYSTAL LAKE DR, DESOTO, TX 75115-3798
(214) 753-6044
Mailing address
341 CRYSTAL LAKE DR, DESOTO, TX 75115-3798
(214) 753-6044
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1059878
TX
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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