Individual
KIERRA OUEDRAOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WALKER WAY, DESOTO, TX 75115-2088
(469) 801-4500
Mailing address
4725 MAGNA CARTA BLVD, GRAND PRAIRIE, TX 75052-8392
(810) 394-8479
Taxonomy
Speciality
Code
Description
License number
State
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
Primary
RCP02003194
TX
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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