Individual
CELESTINA OGBOLUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 EMPIRE CENTRAL DR., # 350, DALLAS, TX 75247
(469) 757-4217
(972) 745-2390
Mailing address
1140 EMPIRE CENTRAL DR, # 350, DALLAS, TX 75247-4322
(469) 757-4217
(972) 745-2390
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
TX
363LG0600X
Gerontology Nurse Practitioner
AP136081
TX
3747P1801X
Personal Care Attendant
—
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
09/06/2018
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