Individual
MRS. LORNAH ADHIAMBO MWAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 CHANNING RD, FORT WORTH, TX 76244-8500
(214) 554-6021
Mailing address
10000 CHANNING RD, FORT WORTH, TX 76244-8500
(214) 554-6201
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
319463
TX
164X00000X
Licensed Vocational Nurse
TX
TX
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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