Individual
KATHY KIM-NHUNG DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 BOISE DR, ODESSA, TX 79762-2109
(432) 853-8932
Mailing address
2306 BOISE DR, ODESSA, TX 79762-2109
(432) 853-8932
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344992
TX
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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