Individual
MRS. MARIAMA KANNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11924 GARDEN TERRACE DR, DALLAS, TX 75243-5042
(972) 904-4742
Mailing address
11924 GARDEN TERRACE DR, DALLAS, TX 75243-5042
(972) 904-4742
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
300498
TX
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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