Individual
CHIZOBA EGUNETUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3209 GRAND BAY DR, GARLAND, TX 75040-5543
(469) 682-2066
Mailing address
3209 GRAND BAY DR, GARLAND, TX 75040-5543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
959252
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
959252
TX
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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