Individual
MRS. KIMBERLEY MARIE BIENVENUE
Active
Individual
MRS. KIMBERLEY MARIE BIENVENUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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