Individual
VICTORIA KOZENKOVAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
530 HIGHT RD, WAXAHACHIE, TX 75167-8945
(469) 309-7845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00457300
NJ
363LA2200X
Adult Health Nurse Practitioner
4704304401
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
AP128055
TX
Other
Enumeration date
09/20/2013
Last updated
07/02/2019
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