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Individual

MRS. KIMBERLEY MARIE BIENVENUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11314 WICKERSHAM LN, HOUSTON, TX 77077-6826
(281) 221-0256
(832) 288-3640
Mailing address
11314 WICKERSHAM LN, HOUSTON, TX 77077-6826
(281) 221-0256
(832) 288-3640

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
637494
TX
3747A0650X
Attendant Care Provider
Primary
637494
TX

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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