Individual
GLORY EZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 SKYLINE DR APT 725, MCKINNEY, TX 75071-3152
(469) 403-9678
Mailing address
2000 SKYLINE DR APT 725, MCKINNEY, TX 75071-3152
(469) 403-9678
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
344325
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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