Individual
MR. RODRECK MAPONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E PARK BLVD STE 600, PLANO, TX 75074-8818
(214) 414-4451
Mailing address
5055 PEAR RIDGE DR APT 1428, DALLAS, TX 75287-3127
(214) 414-4451
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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