Individual
ANNICK KWIZERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5033 IVY WOOD LN APT 931, FORT WORTH, TX 76115-4056
(682) 472-6676
Mailing address
5033 IVY WOOD LN APT 931, FORT WORTH, TX 76115-4056
(682) 472-6676
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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