Individual
JANE KEMUNTO NYANCHOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 HUDSONWOOD DR APT 11104, ARLINGTON, TX 76001-7970
(817) 323-7383
Mailing address
6101 HUDSONWOOD DR APT 11104, ARLINGTON, TX 76001-7970
(817) 323-7383
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337653
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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