Individual
DR. TRYSELDAH MUTSAGO JABANGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 W MARKHAM ST # 529, LITTLE ROCK, AR 72205-7101
(469) 571-1048
Mailing address
4301 W MARKHAM ST # 529, LITTLE ROCK, AR 72205-7101
(469) 571-1048
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
866521
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1204174
TX
Other
Enumeration date
07/11/2024
Last updated
06/12/2025
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