Individual
DRUSCILLA KWAMBOKA MATARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 HOLLANDALE CIR APT T, ARLINGTON, TX 76010-2309
(469) 877-3284
Mailing address
215 HOLLANDALE CIR APT T, ARLINGTON, TX 76010-2309
(469) 877-3284
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333449
TX
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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