Individual
GLORIA NKUDIYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
528 STARVIEW ST, TEMPLE, TX 76502-5058
(254) 212-1264
Mailing address
528 STARVIEW ST, TEMPLE, TX 76502-5058
(254) 212-1264
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
803659183
TX
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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