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Individual

KENYA STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
909 S LAS VEGAS TRL, FORT WORTH, TX 76108-2921
(817) 395-7148
Mailing address
909 S LAS VEGAS TRL, FORT WORTH, TX 76108-2921

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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