Individual
KELECHI MADUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4229 GLENHAVEN DR, GARLAND, TX 75042-6120
(469) 209-3783
(972) 918-5166
Mailing address
4229 GLENHAVEN DR, GARLAND, TX 75042-6120
(469) 209-3783
(972) 918-5166
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
789766
TX
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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