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Individual

MRS. OMOKHUWA MARTHA ETSEOGHENA IJEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5680 FRISCO SQUARE BLVD, FRISCO, TX 75034-3300
(469) 535-8000
Mailing address
920 SNYDER DR, MCKINNEY, TX 75072-3402
(862) 279-8242

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1049261
TX

Other

Enumeration date
08/09/2021
Last updated
08/09/2021
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