Individual
MAGGIE ABWO KASTO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6864 LARMANDA ST APT 276, DALLAS, TX 75231-0202
(214) 962-8023
Mailing address
6864 LARMANDA ST APT 276, DALLAS, TX 75231-0202
(214) 962-8023
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342629
TX
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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