KEYNA OMENUKOR

MESQUITE, TX
NPI1215307715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP128934)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024286045)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61500520)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP128934)
Enumeration Date2015-09-28
Last Update Date2024-10-02
Business Address
KEYNA OMENUKOR
1675 REPUBLIC PKWY STE 190
MESQUITE, TX 75150-6902
Phone number: 972-576-7399
Mailing Address
KEYNA OMENUKOR
1675 REPUBLIC PKWY STE 190
MESQUITE, TX 75150-6902
Phone number: 972-576-7399