Individual
MRS. PATRICIA N MULUBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9533 JEREMIAH DR APT 318, FORT WORTH, TX 76108-5950
(682) 777-6019
Mailing address
9533 JEREMIAH DR APT 318, FORT WORTH, TX 76108-5950
(682) 777-6019
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-3151599
82-3151599
TX
Enumeration date
08/09/2021
Last updated
08/11/2021
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