Organization
AMANJI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRETTA EZUKANMA PHMNP-BC (PROVIDER & OWNER)
(817) 980-5659
Entity
Organization
Contact information
Practice address
9908 LAMBERTON TER, FORT WORTH, TX 76244-8514
(817) 980-5659
(917) 722-1713
Mailing address
9908 LAMBERTON TER, FORT WORTH, TX 76244-8514
(817) 980-5659
(917) 722-1713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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