Individual
EDITH NYAMBURA KIMOTHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 HARVEST BEND DR, WYLIE, TX 75098-4514
(469) 782-4241
Mailing address
102 HARVEST BEND DR, WYLIE, TX 75098-4514
(469) 782-4241
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352608
TX
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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