Individual
GLORIA JITUBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 EDGEBROOK CT, WYLIE, TX 75098-8511
(214) 771-5279
Mailing address
3105 EDGEBROOK CT, WYLIE, TX 75098-8511
(214) 771-5279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
962139
TX
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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