Individual
JENCY VARUGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1011 N GALLOWAY AVE, MESQUITE, TX 75149-2433
(214) 320-7000
Mailing address
1203 WILDFLOWER LN, MESQUITE, TX 75149-2631
(469) 879-8167
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
231741
TX
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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