Individual
AGNES IBENEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12484 ABRAMS RD, #2221, DALLAS, TX 75243-1682
(469) 363-6202
Mailing address
12484 ABRAMS RD, #2221, DALLAS, TX 75243-1682
(469) 363-6202
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
621898
TX
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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