Individual
EDWIN ATUNG NKWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3613 BALLYCASTLE DR, PLANO, TX 75074-8875
(469) 450-3592
Mailing address
3613 BALLYCASTLE DR, PLANO, TX 75074-8875
(469) 450-3592
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
226598
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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