Individual
MS. KANDI DENISE GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS LVN
Contact information
Practice address
1900 WEST GRAY ST, 130732, HOUSTON, TX 77019
(832) 845-4179
(832) 212-3149
Mailing address
1900 W GRAY ST # 130732, HOUSTON, TX 77019-4816
(832) 845-4179
(832) 212-3149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5220652
FL
164X00000X
Licensed Vocational Nurse
Primary
303950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377605601
—
TX
Enumeration date
11/09/2017
Last updated
02/17/2020
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