Individual
RONEL LAYUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4560 LAKE RIDGE PKWY STE 110, GRAND PRAIRIE, TX 75052-1707
(972) 522-7778
Mailing address
4560 LAKE RIDGE PKWY STE 110, GRAND PRAIRIE, TX 75052-1707
(972) 522-7778
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP140868
TX
Other
Enumeration date
03/05/2019
Last updated
06/21/2023
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