Individual
REBECCA ANYOSO MWONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1118 CAVALCADE DR, GRAND PRAIRIE, TX 75052
(817) 803-5884
(469) 520-5801
Mailing address
1118 CAVALCADE DR, GRAND PRAIRIE, TX 75052-7126
(817) 803-5884
(469) 520-5801
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
704828
TX
163WH0200X
Home Health Registered Nurse
Primary
704828
TX
Other
Enumeration date
08/06/2007
Last updated
08/10/2018
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