Individual
BRENDA OCHIENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1217 GRAND AVE, FORT WORTH, TX 76164-9041
(817) 625-7733
Mailing address
1217 GRAND AVE, FORT WORTH, TX 76164-9041
(817) 625-7733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
138609
TX
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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