Individual
CHINECHEREM GLORY EGBUDIWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1427 COLBORNE DR, MESQUITE, TX 75149-5948
(214) 874-8804
Mailing address
1427 COLBORNE DR, MESQUITE, TX 75149-5948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1067457
TX
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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