PRINCESS KUKUA AHEDOR
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1215401906- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2100 GEORGE DIETER DR, EL PASO, TX, 799363815
- Phone
- (915) 955-2238
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: TX #AP139886
Nurse Practitioner, Family
License: TX #AP139886