Individual
THERESA EMUA IHIONKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 BUDDY DAVIS LN, MANSFIELD, TX 76063-5972
(913) 433-6218
Mailing address
1800 BUDDY DAVIS LN, MANSFIELD, TX 76063-5972
(913) 433-6218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
351689
TX
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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