MARY EZINNE EZEBUIRO

JBSA LACKLAND, TX
NPI1881179588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP138218)
Enumeration Date2018-09-27
Last Update Date2021-01-21
Business Address
MARY EZINNE EZEBUIRO
1100 WILFORD HALL LOOP # 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-7026
Mailing Address
MARY EZINNE EZEBUIRO
1100 WILFORD HALL LOOP # 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-7026