Individual
JACINTA IRUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9959 ADLETA BLVD APT 1906, DALLAS, TX 75243-8142
(940) 595-7124
Mailing address
9959 ADLETA BLVD APT 1906, DALLAS, TX 75243-8142
(940) 595-7124
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310761
TX
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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