Individual
DORIS CUDJOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP -BC
Contact information
Practice address
2436 SILVERADO TRL, GRAND PRAIRIE, TX 75052-8622
(682) 521-5673
Mailing address
2436 SILVERADO TRL, GRAND PRAIRIE, TX 75052-8622
(682) 521-5673
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144120
TX
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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