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Individual

CHARLES UDO ENYINNA-OKEIGBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
9304 FOREST LN, STE 216 S, DALLAS, TX 75243-6238
(214) 295-4324
(214) 295-4397
Mailing address
9304 FOREST LN, STE 216 S, DALLAS, TX 75243-6238
(214) 295-4324

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716453
TX
163WC1500X
Community Health Registered Nurse
716543
TX
163WH0200X
Home Health Registered Nurse
Primary
716453
TX
3747P1801X
Personal Care Attendant
716453
TX
374U00000X
Home Health Aide
716543
TX

Other

Enumeration date
04/15/2010
Last updated
04/16/2010
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