Individual
KANMONY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
17210 BLAND MILLS LN, RICHMOND, TX 77407-2718
(832) 454-7694
Mailing address
17210 BLAND MILLS LN, RICHMOND, TX 77407-2718
(832) 454-7694
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP129286
TX
Other
Enumeration date
11/05/2015
Last updated
11/26/2015
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