Individual
CHRISTINE KOSUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 PRESTON RD APT 2025, PLANO, TX 75024-3231
(972) 589-4698
Mailing address
7200 PRESTON RD APT 2025, PLANO, TX 75024-3231
(972) 589-4698
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343819
TX
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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