Individual
GRACE GATHONI KAMAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
3255 YELTES, GRAND PRAIRIE, TX 75054-7505
(586) 344-3718
Mailing address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-3399
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP145838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP145838
AP145838
TX
Enumeration date
07/21/2020
Last updated
07/21/2020
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