Individual
MRS. VANESSA MUKASOLU ECHETABU GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1430 EMPIRE CENTRAL DR FL 1, DALLAS, TX 75247-4032
(214) 645-8500
(214) 648-3775
Mailing address
5353 HARRY HINES BLVD # 9070, DALLAS, TX 75390-9070
(214) 645-8500
(214) 648-1417
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP143630
TX
Other
Enumeration date
11/15/2019
Last updated
04/26/2024
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