Eziaha Victor Ihediwah

NPI #1447965660 in Forney, Texas

Provider Information

NPI Number
1447965660
Entity Type
Individual
Name
Eziaha Victor Ihediwah
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
Jan 23, 2023
Last Updated
Jan 23, 2023

Practice Location

Address
1019 SHACKELFORD LN
City
Forney
State
Texas
ZIP Code
75126-5096
Phone
(929) 222-8811

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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