Individual
EMMANUELLA FUJAMADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 N STATE HIGHWAY 360 APT 263, GRAND PRAIRIE, TX 75050-4131
(469) 493-5471
Mailing address
1450 N STATE HIGHWAY 360 APT 263, GRAND PRAIRIE, TX 75050-4131
(469) 493-5471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1002614
TX
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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