ETIDO J UDOSEN

FRISCO, TX
NPI1083200208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1021337)
Enumeration Date2020-12-13
Last Update Date2023-02-05
Business Address
ETIDO J UDOSEN PMHNP-BC, CNP, MSN
6160 WARREN PKWY STE 100
FRISCO, TX 75034-9415
Phone number: 197-256-5397
Mailing Address
ETIDO J UDOSEN PMHNP-BC, CNP, MSN
6160 WARREN PKWY STE 100
FRISCO, TX 75034-9415
Phone number: 972-565-3977
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