Individual
GRACE WANJIRU GACHUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4203 BARRINGTON TRL, KILLEEN, TX 76549-2560
(913) 710-8435
Mailing address
4203 BARRINGTON TRL, KILLEEN, TX 76549-2560
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1020468
TX
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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