Individual
CHIBUIKE SAMUEL OKONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1710 KNOLLWOOD RD, WYLIE, TX 75098-0347
(678) 200-8693
Mailing address
1710 KNOLLWOOD RD, WYLIE, TX 75098-0347
(678) 200-8693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
918557
TX
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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