Individual
GRACE CHISHONGO MLONDIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-2000
Mailing address
149 MAPLE DR, HENDERSONVILLE, TN 37075-3871
(817) 320-4126
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
124831
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP144801
TX
Other
Enumeration date
01/19/2020
Last updated
02/11/2020
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