Individual
JIANWEN DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3618 CASTLE FALLS DR, MANVEL, TX 77578-4890
(832) 867-4292
Mailing address
3618 CASTLE FALLS DR, MANVEL, TX 77578-4890
(832) 867-4292
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1171158
TX
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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