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Individual

MRS. UKAMAKA ROSE OSUAGWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PMHNP

Contact information

Practice address
303 N GALLOWAY AVE STE A, MESQUITE, TX 75149-4315
(214) 324-5400
(972) 329-5000
Mailing address
303 N GALLOWAY AVE STE A, MESQUITE, TX 75149-4315
(214) 324-5400
(972) 329-5000

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
AP132169
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5696960
TX
Enumeration date
09/19/2019
Last updated
09/19/2019
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