Individual
BERETH VEFONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6112 GLENVIEW DR APT 42, NORTH RICHLAND HILLS, TX 76180-9208
(952) 975-9619
Mailing address
6112 GLENVIEW DR APT 42, NORTH RICHLAND HILLS, TX 76180-9208
(952) 975-9619
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
348357
TX
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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