Individual
BLANDINE UMUTONIWASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1652 KELLER PKWY STE 200, KELLER, TX 76248-3877
(682) 291-9910
Mailing address
1652 KELLER PKWY STE 200, KELLER, TX 76248-3877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-337380
TX
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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