Individual
ALICE WAIRIMU MWAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
303 TRINIDAD DR, GRAND PRAIRIE, TX 75052-5337
(214) 467-9816
Mailing address
303 TRINIDAD DR, GRAND PRAIRIE, TX 75052-5337
(214) 467-9816
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
321567
TX
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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