Individual
GLADYS WACHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4518 RONALD DR, KILLEEN, TX 76542-6271
(469) 432-4408
Mailing address
4518 RONALD DR, KILLEEN, TX 76542-6271
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
226334
TX
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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