Individual
GLADYS EKEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9637 FOREST LN APT 632, DALLAS, TX 75243-0921
(254) 987-1961
Mailing address
9637 FOREST LN APT 632, DALLAS, TX 75243-0921
(254) 987-1961
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347770
TX
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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