Individual
CARREN NYASUGUTA STRATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3840 FOXHOUND LN, FORT WORTH, TX 76123-2589
(817) 501-1103
Mailing address
3840 FOXHOUND LN, FORT WORTH, TX 76123-2589
(817) 501-1103
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
TX
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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