Individual
KENDRA CASIMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MESA VIEW TRL, FT WORTH, TX 76131-4603
(402) 340-4694
Mailing address
501 MESA VIEW TRL, FT WORTH, TX 76131-4603
(402) 340-4694
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
325564
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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