Individual
JESINTA IRUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5336 SONOMA DR, FORT WORTH, TX 76244-6264
(302) 230-6364
Mailing address
5336 SONOMA DR, FORT WORTH, TX 76244-6264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
955094
TX
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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