Individual
FREDRICK K CHERUIYOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 PRESTON ON THE LK TRLR 401, LITTLE ELM, TX 75068-5733
(214) 558-9066
Mailing address
1800 PRESTON ON THE LK TRLR 401, LITTLE ELM, TX 75068-5733
(214) 558-9066
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
304320
TX
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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