Individual
MS. EVANGELISTA C. ANUGWOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4128 ARBOR CT, MESQUITE, TX 75150
(214) 649-6048
(972) 677-7978
Mailing address
4128 ARBOR CT, MESQUITE, TX 75150
(214) 649-6048
(972) 677-7978
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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