Individual
EBERE EJIKE-ILECHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 S SHILOH RD STE 525, GARLAND, TX 75042-8247
(763) 222-5419
Mailing address
1640 BREEZY BAY CT, WYLIE, TX 75098-0815
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1014892
TX
Other
Enumeration date
10/13/2020
Last updated
08/30/2022
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