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Individual

MRS. EJANG NGYIAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
929 W PIONEER PKWY, GRAND PRAIRIE, TX 75051-4734
(972) 433-0088
Mailing address
6103 DELOLLIS DR, GRAND PRAIRIE, TX 75052-8723
(503) 422-0028

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1043966
TX

Other

Enumeration date
07/19/2021
Last updated
10/05/2022
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