Individual
MRS. JUSTINA MHURAI COLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 N INTERSTATE 35 E RD, WAXAHACHIE, TX 75165
(469) 843-4000
Mailing address
1509 REAGAN AVE, WAXAHACHIE, TX 75165-1263
(432) 238-6272
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1059422
TX
Other
Enumeration date
12/17/2021
Last updated
11/07/2022
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