EDOGHOGHO STACY EDOSONMWAN

DALLAS, TX
NPI1356808901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1116542)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  230297)
Enumeration Date2019-03-01
Last Update Date2025-07-15
Business Address
EDOGHOGHO STACY EDOSONMWAN RN
1350 N WESTMORELAND RD
DALLAS, TX 75211-1654
Phone number: 214-330-0036
Mailing Address
EDOGHOGHO STACY EDOSONMWAN RN
1428 E ARLINGTON AVE
FORT WORTH, TX 76104-6124
Phone number: