Organization
CHRYSOLITE PRECIOUS HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTELLE WADINE KAMANDA (MEDICAL ASSISTANT)
(405) 543-9344
Entity
Organization
Contact information
Practice address
3556 VELA LN APT 5209, FORT WORTH, TX 76137-2276
(214) 233-5633
Mailing address
3556 VELA LN APT 5209, FORT WORTH, TX 76137-2276
(214) 233-5633
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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