Individual
IFEYINWA ROSEMARY EZEADIKWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 BROOKCHASE DR, MESQUITE, TX 75181-1091
(214) 200-1519
Mailing address
2415 BROOKCHASE DR, MESQUITE, TX 75181-1091
(214) 200-1519
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1147712
TX
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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