Individual
IHEOMA EDORO ANYAEGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 14TH ST APT 11305, PLANO, TX 75074-7321
(214) 607-5411
Mailing address
4701 14TH ST APT 11305, PLANO, TX 75074-7321
(214) 607-5411
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215917
TX
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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