Individual
AGNES CHARITY SUNDAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 CREEKVIEW DR APT 103, GARLAND, TX 75043-3468
(817) 673-6830
Mailing address
213 CREEKVIEW DR APT 103, GARLAND, TX 75043-3468
(817) 673-6830
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43450891
TEXAS
TX
Enumeration date
06/19/2019
Last updated
06/19/2019
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