Individual
CECILIA EFUETLACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 PARKWAY BLVD, COPPELL, TX 75019-6087
(469) 544-3579
Mailing address
625 PARKWAY BLVD, COPPELL, TX 75019-6087
(469) 544-3579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
74055
ME
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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