Individual
MISS ANTONINA NJERI GILMORE-MBUGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14501 MONTFORT DR APT 207, DALLAS, TX 75254-8548
(214) 886-5783
Mailing address
14501 MONTFORT DR APT 207, DALLAS, TX 75254-8548
(214) 886-5783
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
328292
TX
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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