Individual
CYPRIAN AMAECHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2716 ATRIUM DR, GRAND PRAIRIE, TX 75052-7015
(214) 809-3916
Mailing address
2716 ATRIUM DR, GRAND PRAIRIE, TX 75052-7015
(214) 809-3916
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
306062
TX
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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