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Individual

KIIURISTI RASHEEDAH WYNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5830 S LAKE HOUSTON PKWY APT A140, HOUSTON, TX 77049-2643
(830) 302-9828
Mailing address
5830 S LAKE HOUSTON PKWY APT A140, HOUSTON, TX 77049-2643
(830) 302-9828

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330137
TX

Other

Enumeration date
02/07/2020
Last updated
02/07/2020
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