Individual
JERIOTH NDIRANGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 SIERRA BLANCA DR, WYLIE, TX 75098-6120
(469) 432-4605
Mailing address
1307 SIERRA BLANCA DR, WYLIE, TX 75098-6120
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311267
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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