Individual
CHARITY CHIOMA DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 ECHO CT, ROWLETT, TX 75088-1534
(469) 274-7743
Mailing address
2310 ECHO CT, ROWLETT, TX 75088-1534
(469) 274-7743
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP145265
TX
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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