Individual
AGNESREBEKAH M MUTUKU GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15750 SPECTRUM DR APT 2417, ADDISON, TX 75001-6366
(972) 750-0757
Mailing address
15750 SPECTRUM DR APT 2417, ADDISON, TX 75001-6366
(972) 750-0757
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
318093
TX
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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