Individual
LILIAN WANGONDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 TOPAZ TRL, CELINA, TX 75009-6735
(214) 504-6945
Mailing address
1413 TOPAZ TRL, CELINA, TX 75009-6735
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1210949
TX
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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