Individual
IJEOMA EZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
9314 MAGNOLIA GRV, SAN ANTONIO, TX 78245-2946
(310) 802-9522
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
103614
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95020264
CA
Other
Enumeration date
05/06/2021
Last updated
06/24/2022
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