Individual
MRS. GRACE FORMUKONG NGWINGALAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
540 BUCKINGHAM RD APT 1133, RICHARDSON, TX 75081-5688
(469) 531-4594
Mailing address
540 BUCKINGHAM RD APT 1133, RICHARDSON, TX 75081-5688
(469) 531-4594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
925465
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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