Individual
MR. BENNETH UKAEGBU NNANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
103 MONTICELLO DR, MANSFIELD, TX 76063-6793
(817) 504-0357
Mailing address
103 MONTICELLO DR, MANSFIELD, TX 76063-6793
(817) 504-0357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
897747
TX
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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